2021 area plan program module update€¦ · jacksonville, fl 32216, duval county 813-310-1870 h...
TRANSCRIPT
For the Period January 1, 2020 - December 31, 2022
Submitted September, 2020
2021 Area Plan Program Module Update
TEMPLATE AND INSTRUCTION
ELDERSOURCE
PSA: 4
Program and Contract Module Certification ................................................................... iv
AAA Board of Directors ..................................................................................................... v
AAA Advisory Council ....................................................................................................... x
Funds Administered and Bid Cycles .............................................................................. xv
Resources Used .............................................................................................................. xvi
Executive Summary ........................................................................................................... 1
Mission and Vision Statements ......................................................................................... 1
Profile .................................................................................................................................. 2
Strengths, Weaknesses, Opportunities, and Threats (SWOT) Analysis ........................ 3
Performance and Targeted Outreach................................................................................ 4
Unmet Needs and Service Opportunities ....................................................................... 56
Goals and Objectives ....................................................................................................... 61
Appendix 3: Program Module Review Checklist- .......................................................... 81
Appendix 4: Performance and Planning Data ................................................................ 91
Program Module Comments and Recommendations: .................................................. 92
Appendix 5: Instructions .................................................................................................. 94
PSA 4 2020 - 2022 Area Plan Date: September, 2020 i | P a g e
PSA 4 2020 - 2022 Area Plan Date: September, 2020 ii | P a g e
Introduction to the Area Plan
The Area Plan describes in detail the specific services to be provided to the population of
older adults residing in a given Planning and Service Area (PSA). The plan is developed
from an assessment of the needs of the PSA as determined by public input that involves
public hearings, the solicited participation of those affected and their caregivers, and
service providers. The plan also states the goals and objectives that the Area Agency on
Aging (AAA) and its staff and volunteers plan to accomplish during the planning period.
The Area Plan is divided into two parts, the Program Module and the Contract Module.
The Program Module includes a profile of the PSA; a SWOT (Strengths, Weaknesses,
Opportunities, and Threats) analysis; an analysis of performance and unmet needs; the
service plan including goals, objectives, and strategies; assurances; and other elements
relating to the provision of services.
The Contract Module includes the elements of the plan relating to funding sources and
allocations, as well as other administrative/contractual requirements, and otherwise
substantiates the means through which planned activities will be accomplished.
In planning for the production of the Area Plan, AAAs should consider the following Area
Plan development cycle.
PSA 4 2020 - 2022 Area Plan Date: September, 2020 iii | P a g e
This recommended planning cycle features the development of the PSA Profile, followed
by the completion of the comprehensive SWOT analysis during the winter and spring of
the Area Plan submission year. The summer should feature the development of the
Performance and Targeted Outreach and Unmet Need and Services opportunities
components of the Area Plan. With the completion of these components, the AAA will be
prepared to address the Goals, Objectives, and Strategies component of the Area Plan.
With the completion of each stage in development of the Area Plan, the AAA is required
to submit the respective components to Department of Elder Affairs (DOEA) through
their contract manager for review and feedback.
In the spring of each year, the Department of Elder Affairs will publish a Notice of
Instruction (NOI). This NOI will include the Area Plan Program Module Template, Area
Plan Contract Module Template, indicator comparative performance file, and a table of
due dates for submission of the Area Plan Cycle components.
Instructions Before beginning Area Plan Program Module development activities, it is important that
you complete a thorough review of the instructions for completion found in Appendix 5.
PSA 4 2020 - 2022 Area Plan Date: September, 2020 iv | P a g e
Program and Contract Module Certification
AREA AGENCY ON AGING (AAA) INFORMATION:
Legal Name of Agency: Northeast Florida Area Agency on Aging dba ElderSource
Mailing Address: 10688 Old St. Augustine Road, Jacksonville, FL 32257
Telephone: (904) 391-6600 FEDERAL ID NUMBER: 59-1569867
CERTIFICATION BY BOARD PRESIDENT, ADVISORY COUNCIL CHAIR, AAA DIRECTOR:
I hereby certify that the attached documents:
☒ Reflect input from a cross section of service providers, consumers, and caregivers who
are representative of all areas and culturally diverse populations of the Planning and
Service Area (PSA).
☒ Incorporate the comments and recommendations of the Area Agency’s Advisory Council.
☒ Have been reviewed and approved by the Board of Directors of the Area Agency on
Aging.
Additionally:
☒ Signatures below indicate that both the Program Module and the Contract Module have
been reviewed and approved by the respective governing bodies.
I further certify that the contents are true, accurate, and complete statements. I acknowledge that intentional misrepresentation or falsification may result in the termination of financial assistance. I have reviewed and approved this 2020-2022 Area Plan.
President, Board of Directors
Name: Stuart Gaines Signature:
Date:
Advisory Council Chair
Name: Cheryl Jefferson Signature:
Date:
Area Agency on Aging Executive Director
Name: Linda Levin Signature:
Date:
Signing this form verifies that the Board of Directors and the Advisory Council and AAA
Executive Director understand that they are responsible for the development and implementation
of the plan and for ensuring compliance with Older Americans Act Section 306.
PSA 4 2020 - 2022 Area Plan Date: September, 2020 v | P a g e
AAA Board of Directors- No Updates Needed
Membership Composition:
No updates needed
Frequency of Meetings:
No updates needed
Officer Selection Schedule:
No updates needed
PSA 4 2020 - 2022 Area Plan Date: September, 2020 vi | P a g e
AAA Board Officers:
Title Name Term
Chair Stuart Gaines 12/18
12/20
Vice Chair Coley Jones 05/18
05/20
Treasurer Elizabeth Gunn 03/19
03/21
Secretary Dr. Sue Legar Krall 11/18
11/20
Immediate Past Chair Bill Ternent
Other: (Title: At-Large
Members, Executive
Committee)
Dr. Sandy Robinson 12/18
12/20
Other: (Title: At-Large
Members, Executive
Committee)
Melissa Gilreath 09/19
09/21
PSA 4 2020 - 2022 Area Plan Date: September, 2020 vii | P a g e
AAA Board of Directors Membership:
Name Occupation / Affiliation Home Address
(include county) Phone Number
Member
Since
Current Term of
Office
Stuart Gaines Director, Satori Pathway 80 Surfview Drive, #501, Palm
Coast, FL 32137, Flagler
County
904-732-4545 W
847-275-9510 C
12/12 12/18
12/20
Coley Jones Senior Vice President,
Commercial Banking
Group, Bank of America
50 N. Laura Street 24th Floor,
Jacksonville, FL 32202, Duval
County
904-791-4030 W
904-401-4644 C
05/14 05/18
05/20
Dr. Sue L. Krall Director of Home &
Community Based
Services, River Garden
Senior Services
475 South 4th Street,
Macclenny, FL 32063, Baker
County
904-259-6568 H
904-886-8421 W
904-613-2542 C
01/15 11/18
11/20
Janet H. Adkins Healthcare Administrator 863 Laguna Drive, Fernandina
Beach, FL 32034, Nassau
County
904-261-2213 H
904-316-2008 W
11/17 11/17
11/19
Vanessa Jones
Briscoe
Associate Professor
University of Maryland
school of Medicine &
Health Sciences,
Bethune-Cookman
University
3331 Torre Boulevard, New
Smyrna Beach, FL 32168
Volusia County
615-554-0530 H
386-481-2305 W
12/17 11/18
11/20
Sybil R. Dodson-
Lucas
Retired, New York City
Government
PO Box 32135 Palm Coast, FL
32164, Flagler County
386-246-4195 H
05/17 05/19
05/21
PSA 4 2020 - 2022 Area Plan Date: September, 2020 viii | P a g e
Brenda B. Ezell Attorney 3560 Cardinal Point Drive,
Suite 202, Jacksonville, FL
32257, Duval County
904-292-1495 H
904-432-3200 W
01/18 01/20
01/22
Melissa Gilreath Executive Director,
Elderly Housing
Management Corp.
101 Palmera Court, Ponte
Vedra Beach, FL 32082, St.
Johns County
904-285-2610 H
904-339-0262 W
09/17 09/19
09/21
Elizabeth Gunn Vice President, Patient
Care Services, Baptist
Medical Center South
13 Carnauba Way, Ponte
Vedra, FL 32081, St. Johns
County
407-474-8797 C
904-271-6003 W
03/17 03/19
03/21
Jenny
Higginbotham
Barrett
Vice President, Associate
Managing Counsel and
Senior Counsel, Fidelity
National Financial
43065 Thomas Creek Road,
Callahan, FL 32034, Nassau
County
904-588-3139 H
904-854-8967 W
05/20 05/20
05/22
Catherine Kelly Retired Corporate Officer,
Health Insurance
25 27th Avenue South,
Jacksonville Beach, FL 32250,
Duval County
904-616-4511 H 07/18 07/18
07/20
Ray Parkhurst Program Manager,
American Red Cross
136 Avalon Drive, Ormond
Beach, FL 32176, Flagler
County
386-262-3332 H
386-262-3332 W
09/18 09/18
09/20
Don Roberts North Region President,
Seaside National Bank
and Trust
8066 James Island Trail,
Jacksonville, FL 32256, Duval
County
904-607-1200 C
904-473-1975 W
12/12 12/18
12/20
Dr. Sandy L.
Robinson
Manager – Ops –
Education, Mayo Clinic
School of Health
Sciences, Mayo Clinic
School of Medicine
54 Atlanta Drive, St.
Augustine, FL 32092, Duval
County
216-509-6421 C
07/16 07/18
07/20
PSA 4 2020 - 2022 Area Plan Date: September, 2020 ix | P a g e
Cheryl Jefferson Advisory Council
Representative
11514 Broad Leaf Drive,
Jacksonville, FL 32218, Duval
County
904-612-6255 H 05/19 05/19
05/21
Ed Salek Partner (CPA, CVA), DHS
(Dixon Hughes Goodman)
5029 Glade Hill Street,
Jacksonville, FL 32207, Duval
County
904-859-4389 H
904-428-1183 C
07/18 11/18
11/20
Walette Stanford Director, Emerging
Workforce Strategies,
Jacksonville Electric
Authority
2160 Walnut Creek Court
North, Jacksonville, FL 32246,
Duval County
904-998-0657 H
904-665-4282 W
904-710-1788 W
11/17 11/19
11/21
Catherine
Whitworth
Vice President,
Professional Services
Business Consultants,
Black Knight Financial
254 S Field Crest Drive, St.
Augustine, FL 32004, St.
Johns County
904-334-6772 H
904-248-6145 C
11/19 11/19
11/21
Jackie Whyte Retired 13 Ramrock Lane, Palm
Coast, FL 32164, Flagler
County
904-437-2222 H 11/19 11/19
11/21
Dr. Lauri Wright Professor of Nutrition,
University of North Florida
2959 McCrone Way,
Jacksonville, FL 32216, Duval
County
813-310-1870 H
904-620-1436 W
07/18 07/18
07/20
Joseph Francis
Zimmerman
Owner, The Zimmerman
Group
95201 Plum Loop, Fernandina
Beach, FL 32034, Nassau
County
904-601-8069 C 05/20 05/20
05/22
Honorary Life Membership on the Board may be granted to former Board members who have retired from active membership. Honorary
Life membership is granted to honor and provide ongoing recognition to members who have donated extensive, meritorious service to
the Corporation and, hence, to the older adults of Northeast Florida. Honorary Life Members may attend all meetings and special events,
but shall be non-voting participants.
PSA 4 2020 - 2022 Area Plan Date: September, 2020 x | P a g e
AAA Advisory Council- No Updates Needed
Council Composition:
No updates needed
Frequency of Meetings:
No updates needed
Member Selection Schedule:
No updates needed
Service Term(s):
No updates needed
PSA 4 2020 - 2022 Area Plan Date: September, 2020 xi | P a g e
AAA Advisory Council Members:
Name Occupation /
Affiliation
Home Address
(include county)
Phone
Number
Member
Since
Current Term
of Office Age Race Eth.
Albert Abbatiello
Retired Realtor 1133 River Birch Road, St. Johns, FL 32259, St. Johns County
904-287-5577 H
6/15 6/19 6/21
85 White Non-Hispanic
Janice Ancrum Executive Director, Nassau County Council on Aging
2339 Bonnie Oaks Drive, Fernandina Beach, FL 32034, Nassau County
904-502-5160 H 904-261-0701 W
6/13 6/19 6/21
58 African-American
Non-Hispanic
Earnest Berrian Clergy 12033 Rising Oaks Drive East, Jacksonville, FL 32223, Duval County
904-262-1561 H 904-732-7431 W
5/16 5/19 5/21
73 African-American
Non-Hispanic
Frances Chew Retired 351 N Seneca Street, Daytona Beach, FL 32114, Volusia County
386-506-2350 C
4/19 4/19 4/21
70 Hispanic Hispanic
Lesa Lee Dike Content Developer
9459 Cow Pen Road Sanderson, FL 32087, Baker County
(904) 316-2510 H (904) 399-3119 O
10/19 10/19 10/21
60 White Non-Hispanic
Diane Eckert Retired 1691 Briarwood Lane, Orange Park, FL 32073, Clay County
904-505-8485 H
10/17 10/19 10/21
68 White Non-Hispanic
PSA 4 2020 - 2022 Area Plan Date: September, 2020 xii | P a g e
Bernie Fitzgerald
Senior Helpers of Palm Coast and St. Augustine
1204 Kirkpatrick Circle, Ormond Beach, FL 31174, Flagler County
321-662-4077 H 386-263-2457 W 321-662-4077 C
4/19 4/19 4/21
74 White Non-Hispanic
Hortense Geter Retired Bell South Manager
1629 Illinois Street, Daytona Beach, FL 32114, Volusia County
386-307-0619 H
4/19 4/19 4/21
75 African-American
Non-Hispanic
Cheryl Jefferson
Retired, was Project Administrator, Everbank
11514 Broad Leaf Drive, Jacksonville, FL 32225, Duval County
904-612-6255 H
5/19 5/19 5/21
67 African-American
Hispanic
Ashley Jennings, Ed. D
Assistant Professor Aging Studies
100 Myrtle Street #112 Longwood, FL 32750, Volusia County
(321) 948-
1755 H
(386) 481-
2137 O
10/19 10/19 10/21
35 African-American
Non-Hispanic
Janet Joiner Marketing Manager
530 Black Forest Drive, St. Johns, FL 32040, St. John's County
904-631-0861 H
6/18 6/18 6/20
59 White Non-Hispanic
Patricia McDonald
14204 Leonard
Norman Road
Macclenny, FL
32063, Baker County
(904) 259-5472 H
10/19 10/19 10/21
PSA 4 2020 - 2022 Area Plan Date: September, 2020 xiii | P a g e
Ingrid
Montgomery
Retired Educator
11783 Alexandria
Drive, Jacksonville,
FL 32218, Duval
County
904-503-0181 H 904-333-9712 W
5/19 5/19 5/21
75 White Non-Hispanic
Caryn Prather
165 County Road 75
Bunnell, FL 32110,
Flagler County
(386) 931-
0410 H
(386) 313-
4260 O
(386) 507-
3415 C
4/19 4/19 4/21
63 White Non-Hispanic
Bernadette
Ricks
85083 Christian Way Apt 516 Yulee, FL 32097, Nassau County
(856) 470-
0416 H
10/19 10/19 10/21
Pamela G.
Sanders
Customer Experience Consultant
P. O. Box 1931, Glen
St. Mary, FL 32040,
Baker County
904-535-
5317 H
6/15 6/19 6/21
64 White Non-Hispanic
Barbara
Solomon
Retired P. O. Box 354059,
Palm Coast, FL
32040, Flagler
County
386-447-0761 H 646-416-3869 W
4/19 4/19 4/21
80 African-American
Non-Hispanic
Stevie Taylor,
Sr.
Membership Growth Consultant
7119 Prellie Street,
Jacksonville, FL
32210, Clay County
904-418-3385 H 904-239-7300 W
4/19 4/19 4/21
49 African-American
Non-Hispanic
Jerry
Thompson
Information Technology
1419 Barrington
Circle, St. Augustine,
FL 32092, St. John's
County
904-940-2604 H 904-392-7677 W
5/19 5/19 5/21
64 African American
Non-Hispanic
PSA 4 2020 - 2022 Area Plan Date: September, 2020 xiv | P a g e
Curlene Wims Retired 9041 - 10th Avenue, Jacksonville, FL 32208, Duval County
904-414-0948 H
10/18 11/18 11/20
63 African-American
Non-Hispanic
PSA 4 2020 - 2022 Area Plan Date: September, 2020 xv | P a g e
Funds Administered and Bid Cycles
The following funds are administered by Northeast Florida Area Agency on Aging dba
ElderSource for PSA 4. The current and anticipated Bid Cycles are provided for those programs
that are administered through competitively procured subcontracts.
Funds Administered Current Bid Cycle Anticipated Bid Cycle
Published Current Year
of Cycle Ant. Pub. Ant. Award
Old
er
Am
eri
ca
ns
Ac
t (O
AA
) III B ☒ 05/18 2 05/24 01/25
III C.I ☒ 05/18 2 05/24 01/25
III C.II ☒ 05/18 2 05/24 01/25
III D ☒ 05/18 2 05/24 01/25
III E ☒ 05/18 2 05/24 01/25
Families First Act* ☒
CARES Act* ☒
VII* ☒
Ge
ne
ral
Rev
en
ue
ADI ☒ 04/16 4 10/21 07/22
CCE ☒ 04/16 4 10/21 07/22
HCE ☒ 04/16 4 10/21 07/22
Oth
er
ADRC* ☒
ADRC CARES Act* ☒
AoA Grants ☐
EHEAP* ☒
EHEAP CARES Act* ☒
LSP* ☒
NSIP* ☒
RELIEF* ☒
SHINE* ☒
USDA* ☐
* This fund does not have an associated Bid Cycle.
PSA 4 2020 - 2022 Area Plan Date: September, 2020 xvi | P a g e
Resources Used (for the Original 2020-2022 Area Plan and this 2021 Area Plan Update)
☐ American Community Survey ☒ American FactFinder
☒ AoA Special Tabulation Data 60+ ☒ BRFSS Survey Data
☒ Bureau of Economic and Business Research (BEBR) ☒ CIRTS
☒ Economic and Demographic Research (EDR) ☒ DOH Florida Charts
☒ DOEA Client Satisfaction Survey ☒ DOEA County Profiles, WOW Index
☒ DOEA Elder Needs Index Maps ☒ NAPIS
☒ Targeting Data and Dashboard ☒ Targeting Performance Maps
☒ National Association of States United for Aging and Disability (NASUAD)
☒ Assessing the Needs of Elder Floridians 2016 ☒ www.cdc.gov
☒ Data USA (https://datausa.io) ☒ U. S. Census (www.census.gov)
☒ Maps of World (www.mapsofworld) ☒ Google Earth Pro
☒ Administration for Community Living (https://acl.gov)
☒ Florida Department of Environmental Protection (https://floridadep.gov)
☒ U.S. Department of Agriculture, Food and Nutrition Services
(https://www.ers.usda.gov/data-products/food-access-research-atlas/go-to-the-atlas/)
☒ Feeding America (www.feedingamerica.org ☒ My Florida History (www.myfloridahistory.org)
☒ Ross, N.S., Genealogy Trails History Group
(http://genealogytrails.com/fla/duval/history1.html#duval_county_history)
☒ Johannes, J.H. (www.wnhsfl.org/nassau-county-history.html)
☒ Everett, K.C., Early History of Volusia County Florida (www.fl-roots.org)
☒ Old City (https://oldcity.com/history-and-culture)
☒ Volusia County Spoken Languages Statistics (www.livestories.com/statistics/florida/volusia-couny-
language)
☒ Substance Abuse and Mental Health Services Administration (www.samhsa.gov)
☒ State Library and Archives of Florida (www.floridamemory.com)
☒ www.aarp.org
PSA 4 2020 - 2022 Area Plan Date: September, 2020 1 | P a g e
2021 Area Plan Program Module Update
Executive Summary – No Updates Needed
This section describes the role of ElderSource as a AAA and includes major highlights,
key initiatives, and how the significant and particular needs of the PSA will be
addressed.
Mission and Vision Statements
The Mission Statement defines the purpose and primary objectives of the AAA. The
Vision Statement describes what the AAA intends to accomplish or achieve in the
future.
Mission:
No updates needed
Vision:
No updates needed
Inclusion Statement:
No updates needed
PSA 4 2020 - 2022 Area Plan Date: September, 2020 2 | P a g e
Profile – No Updates Needed
This section provides an overview of the social, economic, and demographic
characteristics of the PSA. The focus of this overview includes consideration of those
geographic areas and population groups within the PSA of low-income older individuals,
including low-income minority elders, as well as elders with limited English proficiency
and those residing in rural areas.
Identification of Counties:
No updates needed
Identification of Communities:
No updates needed
Socio-Demographic and Economic Factors:
No updates needed
Economic and Social Resources:
No updates needed
Description of Service System:
No updates needed
Role in Interagency Collaborative Efforts:
No updates needed
PSA 4 2020 - 2022 Area Plan Date: September, 2020 3 | P a g e
Strengths, Weaknesses, Opportunities, and Threats (SWOT) Analysis – No Updates Needed
SWOT Development Process Description:
No updates needed
Strengths:
No updates needed
Weaknesses:
No updates needed
Opportunities:
No updates needed
Threats:
No updates needed
PSA 4 2020 - 2022 Area Plan Date: September, 2020 4 | P a g e
Performance and Targeted Outreach
This section demonstrates the effectiveness of the AAA’s efforts at the county level in
reaching a comparable proportion of the specified sub-populations of seniors based on
the prior year’s performance and details the strategic plan that the AAA will employ
conducting outreach to the targeted populations in the coming planning period. This
section identifies specific location details for planned outreach to sub-populations in
which performance was below standard in the previous year, including when and where
activities and events will take place, information on target audiences, goals for number
of older individuals and caregivers reached, and plans for how these outreach efforts
will reach the targeted sub-populations
Performance Analysis: According to the DOEA 2020 Targeting Dashboard (reflects 2018 data), PSA 4 has met
or exceeded targeting individuals who are in the most need of services for the following
indicators: Limited English Proficiency, Low Income Minority, Probably Alzheimer’s
Disease, Below Poverty Level, Living Alone and Minority. On that Targeting Dashboard
PSA 4 did not meet the requirement for targeting individuals in rural areas by 6% (i.e.
Goal 12%, Performance 6%), Baker County (Goal 59%, Performance 30%), Clay
County (Goal 16%, Performance 10%), St. Johns County (Goal 24%, Performance
16%) and Volusia County (Goal 10%, Performance 2%) did not meet the targeting goal
for reaching individuals in rural areas.
The area below will focus on the 4 counties (Baker, Clay, St. Johns and Volusia) that
did not meet the targeting goal for reaching individuals in rural areas:
PSA 4 2020 - 2022 Area Plan Date: September, 2020 5 | P a g e
Baker County (rurality Goal 59%, Performance 30%):
Baker County met or exceeded targeting individuals who are in the most need of
services based on the following indicators: Low Income Minority, Probably Alzheimer’s
Disease, Below Poverty Level, and Living Alone
Baker County has a higher percentage of individuals in rural areas (55%) than those in
urban areas (45%). This means that for every individual screened and served in the
urban area, at least one must be served in the rural areas for the performance standard
to be achieved. Through the collaboration of ElderSource, Area Health Education
Center and Baker County Council on Aging, targeted outreaches were provided in areas
where rural indicators were not met as indicated in the map below. The area directly
south of MacClenny will continue to be targeted. Baker County’s 2019 Outreaches are
shown by purple pinpoints:
PSA 4 2020 - 2022 Area Plan Date: September, 2020 6 | P a g e
Clay County (Rurality Goal 16%, Performance 10%):
Clay County met or exceeded targeting individuals who are in the most need of services
based on the following indicators: Limited English Proficiency, Low Income Minority,
Probably Alzheimer’s Disease, Below Poverty Level, Living Alone, and Minority.
In 2018, there was a transition that took place in the Keystone Heights area of Clay
County regarding the Lead Agencies. Aging True began providing services in this area
and identified that there was a large number of Clients served who had not yet been
registered in CIRTS. While this has been addressed, the Clients are not represented on
the 2018 data.
Targeted outreaches have been completed in both areas represented as having not met
the targeted goals for rurality in the map below. Outreaches will continue in these areas
and the updated data should reflect this measure as met.
2019 Outreaches in Clay County are shown by purple pinpoints:
PSA 4 2020 - 2022 Area Plan Date: September, 2020 7 | P a g e
St. Johns County (Rurality Goal 24%, Performance 16%):
St. Johns County met or exceeded targeting individuals who are in the most need of
services based on the following indicators: Limited English Proficiency, Low Income
Minority, Probably Alzheimer’s Disease, Below Poverty Level, Living Alone, and
Minority. Performance goals for the rural indicator were not met.
The area represented as “not met” in the map below (darker green color) reflects a
predominantly wealthy area of St. Johns County with minimal housing units spread
across a larger census tract. The median household income in this tract is
approximately 10% higher than that of St. Johns County as a whole. It also has a
poverty level of approximately 3% of those aged 65+ (which is nearly one third the rate
in St. Johns County).This areas also encompasses housing units along the Atlantic
Ocean and Intracoastal Waterway where housing is not able to be built.
Outside of this area, the map below represents that outreach activities have been
provided in the other areas of the county where the rural indicator was not met.
ElderSource will continue to collaborate with funded Providers to continue providing
outreach opportunities in the areas of most concern. 2019 Outreaches for St. Johns
County are shown by purple pinpoints:
PSA 4 2020 - 2022 Area Plan Date: September, 2020 8 | P a g e
PSA 4 2020 - 2022 Area Plan Date: September, 2020 9 | P a g e
Volusia County (Rurality Goal 10%, Performance 2%):
Volusia County met or exceeded targeting individuals who are in the most need of
services based on the following indicators: Limited English Proficiency, Low Income
Minority, Probably Alzheimer’s Disease, Below Poverty Level, Living Alone, and
Minority. Performance goals for the rural indicator were not met.
In the area represented as “not met” in the map below (darkest green color) almost half
of that census tract is taken up by Tiger Bay State Forest. Tiger Bay State Forest
consists of large areas of swamp with embedded pine islands which create wildlife
corridors for species listed as endangered, threatened or of special concern.
Additionally, this tract has the highest Median Household Income in Daytona Beach
Florida.
There are three other areas represented as “not met” in the map below (mid-green
color). The census tract that is south of Deltona reflects an area where the median
household income is approximately 10% higher than that of Volusia County as a whole.
It also has a poverty level of approximately two thirds the rate in Volusia County as a
whole. The census tract that is just north of DeLand includes De Leon Springs, which is
a State Park covering 625 acres and is built around a natural spring, and has wildlife
areas, camping and hunting areas. The census tract that is the western side Port
Orange reflects a predominantly wealthy area of Volusia County (third highest Median
Household Income in Volusia County). It also has a poverty level of approximately 3%
of those aged 65+ (which is nearly one third the rate in St. Johns County).
The Volusia County Council on Aging has made strides in its efforts to reach out to
individuals in these rural unmet areas. During the first quarter of 2020 (pre COVID-19),
they had made several outreaches to the Port Orange area. Post-COVID they have
sought to reach out to older adults in the rural “unmet” areas by doing Radio spots
(WNDB 1150 am- Volusia County; WSBB Radio- New Smyrna Beach); television spots,
stories and ads (Spectrum TV, WESH-TV); and various news stories (Hometown News,
Daytona Beach News Journal, the Ormond Beach Observers). These efforts will
continue throughout 2021.
Outside of the “unmet rural” areas, the map below represents that outreach activities
have been provided in the other rural areas of the county. ElderSource will continue to
collaborate with funded Providers to continue providing outreach opportunities in the
areas of most concern. 2019 Outreaches for St. Johns County are shown by purple
pinpoints:
PSA 4 2020 - 2022 Area Plan Date: September, 2020 10 | P a g e
The 2019 Volusia County outreaches are shown by purple pinpoints):
PSA 4 2020 - 2022 Area Plan Date: September, 2020 11 | P a g e
Targeted Outreach Plan:
In developing the Targeted Outreach Plan, and pursuant to the Older Americans Act
reauthorization of 2016 (OAA), this plan details at the county and PSA levels:
The AAA’s proposed methods for providing preference to older individuals with
greatest economic need, older individuals with greatest social need, and low-
income minority older individuals;
Specific approaches to serve older individuals residing in rural areas;
Specific approaches to improve access to services for groups that have limited
English proficiency (LEP);
Specific approaches to reach older individuals with disabilities, with particular
attention to individuals with severe disabilities and individuals at risk for
institutional placement;
Specific approaches to identify and assist other significant unserved and
underserved populations; and
Methods the AAA will use to evaluate the effectiveness of any resources that will
be used to meet the needs of the above consumer groups.
The impact of COVID-19 has resulted in the need for adjustments to events and
activities that were originally planned for 2020 (and as described in the 2020-2022 Area
Plan). Since mid-March 2020, ElderSource and its’ providers have been unable to do in-
person outreaches. They have adapted by transitioning to virtual and social media
platforms such as Zoom and Facebook.
Targeted outreach plans detail the efforts, outreach, and planned activities of
ElderSource and its providers to address the identified service needs of targeted
populations. The outreach plan is the result of collaboration between ElderSource and
its service providers.
The below includes what outreaches ElderSource and its’ providers have accomplished
during the first half of 2020, and some of the tentative plans for the remainder of 2020:
2020 ElderSource Outreach Activities:
ElderSource staff and a variety of professional organizations and presenters are utilized
to deliver specialized information to the anticipated audience. ElderSource’s outreaches
for 2020:
PSA 4 2020 - 2022 Area Plan Date: September, 2020 12 | P a g e
Month ElderSource Outreach Efforts Location Participant
Count
1/9/2020 General Presentation: Briarwood Apartments
Clay County- 4328 Briarwood Flat Trace, Middleburg, FL 32068
5
1/10/2020 General Presentation: Home Instead
Clay County- 71 College Drive, Orange Park, FL 32065
4
1/13/2020 General Presentation: The Falls Community
Volusia County- 1 Falls Way Blvd., Ormond Beach, FL 32174
8
1/29/2020 Twin Towers Health Fair Duval County- 621 W. 44th Street, Jacksonville, 32208
35
1/30/2020 Outreach: Nassau County Health Fair Summit
Nassau County- 76346 William Burgess Blvd., Yulee, FL 32097
82
2/13/2020 Presentation: Murray Hill Methodist Church
Duval County- 4101 College St., Jacksonville, FL 32205
25
2/14/2020 Outreach: Marcis Point Duval County- 6734 103rd Street, Jacksonville, FL 32210
50
2/20/2020 Outreach: Advent Hospital Flagler County- 60 Memorial Medical Pkwy., Palm Coast, FL 32164
38
2/22/2020 Outreach: Active After 50 Boomer St. Johns County- 2700 FL State Rd 16, St. Augustine, FL 32092
400+
2/24/2020 Outreach: Hogan Creek Towers Duval County- 1320 Broad Street, Jacksonville, FL 32202
32
4/4/2020
PSI Mandarin Center- Senior Housing (provided outreach materials that were distributed to low-income residents)
Duval County- 3933 Pritmore Road, Jacksonville, FL, 32257
85
PSA 4 2020 - 2022 Area Plan Date: September, 2020 13 | P a g e
4/27/2020
Meals on Wings (educational/outreach materials/ brochures, were provided to be distributed with groceries and supplies to low income homebound seniors)
1 UNF Drive, Building 39, Jacksonville, Florida 32224
150
5/20/2020
Twitter posting - showed a photo of a senior, and explained that there are resources on elder abuse available, and encouraged visiting ElderSource website to gain more information.
Twitter post 156
impressions
6/15/2020 World Elder Abuse Awareness Day (WEAAD)
Virtual event (from Duval County- in collaboration with the Dept. of Health Nassau County)
43
6/30/2020
Bella Vista public housing- Flagler County Housing Authority (provided outreach materials that were distributed to low-income residents)
Flagler County- 910 Gumby Blvd., Bunnell, FL 32110
37
various dates from
4/13/20 through 6/4/20
On 14 separate occasions, PSA 4 provided educational/outreach materials to seniors in their various home/ individual locations. Bags, including the brochures, along with groceries and supplies, were provided to these seniors in need of food assistance.
various locations throughout PSA 4
Total individuals in
these counties: Duval - 533 Clay - 17
Flagler - 15 St. Johns - 71 Volusia - 33
April thru July 2020
Social Media postings re: senior isolation, tips for dealing with COVID-19 scams focused on seniors, Elder Abuse topics, etc
Face Book, Instagram, LinkedIn, etc.
800+ people reached
April thru July 2020
SHINE brochures, Senior Medicare Patrol cards, Elder Abuse and ElderSource brochures were distributed with grocery distributions from ElderSource, and via Meals on Wheels Program to needy seniors
various distributions "events" in various locations throughout PSA 4
20-300 each distribution
event
PSA 4 2020 - 2022 Area Plan Date: September, 2020 14 | P a g e
Month/ Date
ElderSource Upcoming Outreach Efforts
Location Anticipated Participants
8/12/2020 Outreach: Active After 50 Expo- Thrasher Horn Center
Clay County- 283 College Dr, Orange Park
250
8/19/2020 Wekiva Springs Ctr Staff Mtg - Virtual event
Virtual event (from Duval County- Jacksonville, 32216)
10
8/22/2020 Outreach: Jax Community Fair - UNF Herbert Center
Duval County- 12000 Alumni Drive, Jacksonville, FL 32224
100-250
9/19/2020 Outreach: Active After 50 Expo - UNF Herbert Center
Duval County- 12000 Alumni Drive, Jacksonville, FL 32224
100-250
9/26/2020 ElderSource Shop and Drop for Seniors Event
10688 Old St. Augustine Rd., Jacksonville, FL 32257
50
9/20- 9/25/ 2020
Social Media postings re: Falls Prevention Awareness Week
Face Book, Instagram, LinkedIn, etc.
TBD
Sept thru end Nov
2020
Awareness of SHINE assisting with Medicare's Open Enrollment
Various Social Media posts, TV spots running starting in September through Thanksgiving, and some print ads
50 reached
11/8/2020 Florida Assisted Living Association Group
Deland FL 25
11/1/2020 Active After 50 Flagler County - Palm Coast, FL
150
on-going thru end of
2020
Social Media postings re: senior isolation, tips for dealing with COVID-19 scams focused on seniors, Elder Abuse topics, etc
Face Book, Instagram, LinkedIn, etc.
100 reached
on-going thru end of
2020
SHINE brochures, Senior Medicare Patrol cards, Elder Abuse and ElderSource brochures were distributed with grocery distributions from ElderSource, and via Meals on Wheels Program
various locations throughout PSA 4
20-300 each distribution
activity
PSA 4 2020 - 2022 Area Plan Date: September, 2020 15 | P a g e
1-2 times per week
throughout year
Social Media postings on ElderSource, SHINE, and Elder Abuse/ Scams and related topics
Face Book, Instagram, LinkedIn, etc.
100-200
On-going
In partnership with the VA, the Alzheimer's Association and Jacksonville Area Legal Aid, our SHINE Program will be presenting at various virtual meetings, as well as well as virtual veterans resource meetings
various locations throughout PSA 4
TBD
Monthly, May
through Dec 2020
Virtual Caregiver Workshops held through the Caregiver Coalition of Northeast Florida, a program supported by ElderSource
virtual; info on meetings to be posted on various social media platforms
TBD
2020 Area Health and Education Center (AHEC) Outreach Activities:
Month/Date AHEC Outreach Efforts
Location Participant
Count
Comments/ Best Practices/ Challenges
1/23/2020 2020 Deutsche Bank Health and Wellness Fair
Duval County 500
1/29/2020 Best Bet Employee Health Fair
Clay County 50
1/29/2020 St. Johns Council On Aging Resource Day
St, Johns County
80
1/29/2020 Twin Towers Apartments Health Fair
Duval County 15
1/30/2020 Best Bet Employee Health Fair
Duval County 50
2/1/2020 Pink Goes Red at Orange Park Mall
Clay County 100
PSA 4 2020 - 2022 Area Plan Date: September, 2020 16 | P a g e
2/8/2020
Music & Medicine Symposium: Bringing Healthy Communities Together: Arts, Health & Wellness Awareness
Volusia County
32
2/8/2020 Daytona Beach Women’s Day
Volusia County
500
2/8/2020 Family Health and Fitness Beauty Expo
Duval County 200
2/25/2020 Public Service and Nonprofit Career Fair- UNF
Duval County 30
2/29/2020 Health and Wellness Expo
St, Johns County
40
3/9/2020 Medtronic Health Fair
Duval County 100
3/12/2020
Chronic Pain Self-Management Crossover Leader Training (3/11 & 3/12)
Duval County 10
4/2/2020 Easter Seals Post on Facebook about NEFAHEC
Volusia County
unknown
Easter Seals shared a post on their Facebook and Instagram page highlighting our programs and services. This Easter Seals event was a virtual recognition of the families they serve and bring awareness to World Autism Day
4/23/2020 Sickle Cell Disease Webinar
Volusia County
45
Hosted a Zoom Webinar providing Sickle Cell Disease Education and provided information on senior services
PSA 4 2020 - 2022 Area Plan Date: September, 2020 17 | P a g e
4/28/2020 Flagler Broadcasting Radio Commercials
Flagler County unknown
3-4 30 second radio commercials about our programs aired this week. Flagler County Radio Stations: WZNF News Radio 106.3 FM or 1550 AM ; St. Augustine Beach 105.5; Kix Country 98.7; KOOL 100.9; Beach 92.7 (Stations)
5/15/2020 & 5/21/2020
Flagler Broadcasting Radio Commercials
Flagler & St. Johns Counties
unknown
3-4 30 second radio commercials about our programs aired this week. Flagler County Radio Stations: WZNF News Radio 106.3 FM or 1550 AM ; St. Augustine Beach 105.5; Kix Country 98.7; KOOL 100.9; Beach 92.7 (Stations)
5/21/2020 Campus Towers Meals On Wheels
Duval County 50
Provided bagged flyers to be handed out with the supplies packages donated to the residents of Campus Towers Apartments
5/23/2020 Hilliard Parks and Rec
Nassau County
3
Provided bagged flyers including Zoom & phone programs, registration information.
PSA 4 2020 - 2022 Area Plan Date: September, 2020 18 | P a g e
5/27/2020 Bridge the Gap Food Giveaway
Duval County 200
Provided bagged flyers including Zoom & phone programs, registration, and referral system information to be handed out with the food packages at the drive through food giveaway
6/20/2020 Juneteenth Duval County 70
Provided bagged flyers including Zoom & phone programs, and registration information.
6/20/2020 DeLeon Springs Farm Swap
Volusia County
44
Provided bagged flyers including Zoom & phone programs, and registration information.
7/2 & 7/9/2020
flyer blast (Implemented Constant Contact)
Throughout seven county service area
900
Bimonthly email campaigns are sent to approximately 900 contacts. Constant Contact, was implemented in July which has allowed us to obtain data on views, track and strategically market to peoples interests.
PSA 4 2020 - 2022 Area Plan Date: September, 2020 19 | P a g e
7/15/2020 Normandy Park Baptist Church Food Giveaway
Duval County 65
Provided bagged flyers including Zoom & phone programs, and registration information.to be handed out with the food packages at the drive through food giveaway
7/15/2020 Bridge the Gap Food Giveaway
Duval County 100
Created bags with marketing materials for live webinar and telephone programs and services which were placed in the boxes of food.
7/30/2020 Edward Waters College Food Distribution
Duval County 75
Bags with materials for live webinar and telephone programs and services which were placed in the boxes of food.
July-Ongoing
social media posts Seven-County Service Area
unknown
Posts submitted on our Facebook, LinkedIn, Twitter, and Instagram social media pages approximately 4-5 times per week. In addition, we have joined many Facebook Groups Pages and we post our programs and services on each group page weekly. We also post to YouTube, Yelp, Bing, and Google My Business.
PSA 4 2020 - 2022 Area Plan Date: September, 2020 20 | P a g e
Month/Date AHEC Upcoming Outreach Efforts
Location Anticipated Participants
Comments
8/12/2020 Active After 50 Expo
Clay County 200
Live event will market live webinar and telephone programs and services. Event held in Clay County.
8/18/2020 Bridge the Gap Food Giveaway
Duval County 200
Created bags with marketing materials for live webinar and telephone programs and services which were placed in the boxes of food.
August/ Ongoing
Assisted Living Facility Outreach
Online and phone
TBD
Contacted assisted living facilities in our Northeast Florida seven-county service area and provided information on our live webinars and telephone services.
August/ Ongoing
Church Partnership Outreach-Contacted large churches in underserved areas of our seven-county service area.
Online and phone
TBD
Contacted large churches in underserved areas of our seven county service area provided them with program and service information and notified them of our ability to provide program content for their bulletins and newsletters.
PSA 4 2020 - 2022 Area Plan Date: September, 2020 21 | P a g e
9/26/2020 Community Resource Fair
Volusia County
TBD
10/3/2020
Citadel Church of Jacksonville Annual Community Health Fair
Duval County TBD
10/5/2020 TBA Various Event locations
TBD
If live events return will we attend fall and winter health fairs and gatherings
October/ Ongoing
Posts Online TBD National Substance Abuse Prevention Month Activities
11/2/2020 Posts Online TBD National Diabetes Month Activities
11/16/2020 Begin 2021 program facilitator recruitment
Online, multimedia, in-person, and group presentations throughout seen-counties
TBD Begin 2021 program facilitator recruitment.
November/ Quarterly
Meet with partners All seven counties
TBD
Meet with COA's, Aging True, County Senior Services, the Senior Advisory Council, community partners, and stake holders.
November/ Quarterly
Stepping On Facilitator Training
Duval or St. Johns County
TBD Staff Stepping On Facilitator Training
12/1/2020 Continue 2021 program facilitator recruitment
Online, partners, in-person, and group presentations in all seven counties
TBD Continue 2021 program facilitator recruitment
PSA 4 2020 - 2022 Area Plan Date: September, 2020 22 | P a g e
12/1/2020 Schedule programs calls from office
TBD
Contact sites and schedule programs if offering in-person programs. If not market live online and telephone programs.
12/1/2020 Begin 2021 program marketing
All seven counties, in-person, and multimedia.
TBD
Market all programs throughout all seven counties.
2020 Aging True, and Clay Senior Services of Aging True Outreach Activities:
Month/ Date Aging True
Outreach
Efforts
Location/Vehicle Total #
Participants
Comments/
Best Practices/
Challenges
1/23/2020 Wilkinson
Jr. High
Farmshare
Clay County 200 recruitment for
EG
1/29/2020 Twin
Towers
Health Fair
Duval County 40
3/5/2020 Community
Forum Flyer
Duval County 30
4/2-4/9/2020 Eldersource
Care
Packets
Duval County 1000 Multi-
organization
resources
best practice
4/3/2020 COVID-19
EG Mail-
Out
Duval County 30 monthly
communication
PSA 4 2020 - 2022 Area Plan Date: September, 2020 23 | P a g e
3/20-
4/15/2020
Clay
County
Senior
Center
lunch
inserts
Clay County 160
4/6/-
4/15/2020
COVID-19
Telephone
Check-In
for Relief
Clients
Duval County 12
4/7/2020 SPIN
Monthly
Meeting
Virtual Meeting 12 Industry
networking/refer
ral sources
4/20/2020 Resident
Community
News
Print/online unquantifiable Article on how
pandemic was
impacting Aging
True operations
4/30/2020 Mail-Out to
churches
about
RAPP
program
50 Clay County
churches
50 Education/outre
ach
5/1/2020 Distribution
of donated
cleaning
products/sh
elf stable
meal
All four Senior
Centers in Clay
County
400 Adjusting to not
being able to
operate senior
centers, but still
provide
resources,
enrichment,
meals & care
5/5/2020 Action
News Jax
Feature
Television/online unquantifiable Feature on how
grandmother in
RAPP program
is coping with
pandemic
challenges
PSA 4 2020 - 2022 Area Plan Date: September, 2020 24 | P a g e
5/8/2020 Mayo Clinic
Meet &
Greet Staff
Conference Call 10 New Aging True
Development
team brought up
to speed on
Mayo's New
Town & Urban
Core Dementia
Caring
Community
project
5/15/2020 Mail out to
churches
about
RAPP
program
150 Duval County
churches
150 Education/outre
ach
5/18/2020 Caregiver
Coalition
Meeting
Virtual Meeting 80 Aging True Dir.
of Development.
made
presentation
5/20/2020 Resident
Community
News
Print/online unquantifiable Letter from
Aging true CEO
thanking
community of
support during
pandemic
5/21/2020 Resident
Community
News
Print/online unquantifiable Letter from
Aging True
CEO thanking
community for
support during
pandemic
6/18/2020 Caregiver
Coalition
Meeting
Virtual Meeting 50 Networking with
caregivers
6/19/2020 Mail out to
libraries/day
cares about
RAPP
program
50 Clay County
daycares/libraries
50 Education/outre
ach
PSA 4 2020 - 2022 Area Plan Date: September, 2020 25 | P a g e
6/25/2020 Senior
Roundtable
Meeting
Virtual Meeting 20 Networking/
referrals
6/30/2020 Meals on
Wheels
drop site
recruitment
letters
mailed out
210 Duval County
Churches
210 Education/outre
ach
Mar-June
2020
Biweekly
Blood
pressure
checks
All four Senior
Centers in Clay
County
400 Adjusting to not
being able to
operate senior
centers, but still
provide
resources,
enrichment,
meals & care
Mar-June
2020 Monthly
Clay Safety
Net & Clay
County
Senior
Adult
Advocacy
Council
meetings
Virtual Meeting 40 Networking/
referrals
PSA 4 2020 - 2022 Area Plan Date: September, 2020 26 | P a g e
Mar-June
2020 Weekly
COVID-19
resources
regarding
proper
cleaning,
disinfecting,
PPE
access/
usage,
nutrition
education,
proper
healthcare
to senior
center
participants
telephone
reassurance/handou
ts/mailers
400 Adjusting to not
being able to
operate senior
centers, but still
provide
resources,
enrichment,
meals & care
Mar-June
2020 Multiple
Weekly
Social
Media posts
Facebook/Twitter/e
unquantifiable Education/outre
ach/promotion
Month/ Date Aging True
Upcoming
Outreach
Efforts
Location/Vehicle Anticipated
Participants
Comments
June/ July/
Sept/ Nov.
2020
Senior
Roundtable
Virtual and TBD 50 Networking/refe
rrals across
multiple
demographics
August 2020 COVID-19
testing
All four Senior
Centers in Clay
County
400 Senior Center
clients and
potential clients
November
2020
Senior
Expo
Prime Osborn
Center
2,000 Networking/refe
rrals across
PSA 4 2020 - 2022 Area Plan Date: September, 2020 27 | P a g e
multiple senior
demographics
Monthly Caregiver
Coalition
workshops
Virtual and TBD 100 Education/outre
ach to
caregivers of
the elderly
Monthly DCCI Task
Force
meetings
Virtual and TBD 20 Networking/refe
rral source for
colleagues in
field of senior
care
Monthly SPIN
monthly
meetings
Virtual and TBD 20 Networking/refe
rral source for
colleagues in
field of senior
care
Monthly Clay Safety
Net
meetings
Virtual and TBD 40 Networking/refe
rral source for
colleagues in
field of senior
care
Monthly Clay
County
Senior
Adult
Advocacy
Council
meetings
Virtual and TBD 40 Networking/refe
rral source for
colleagues in
field of senior
care
Weekly Distribution
of COVID-
19
resources &
Information
All four Senior
Centers in Clay
County
400 Senior Center
clients and
potential clients
Bi-Weekly Blood
pressure
checks
All four Senior
Centers in Clay
County
400 Senior Center
clients and
potential clients
PSA 4 2020 - 2022 Area Plan Date: September, 2020 28 | P a g e
Monthly EHEAP
marketing
client mailings,
social media, local
publications
unquantifiable Networking/refe
rrals across
multiple
demographics
Multiple
Weekly
Social
Media
posts/
emails
Facebook/Twitter/e
unquantifiable Outreach
across multiple
demographics
2020 Baker County Council on Aging Outreach Activities:
Month/ Date
Baker County Council on Aging Outreach
Efforts Location
Total # Participants
2/26/2020 Farm Share Baker County Fairgrounds 200
May outreach Baker county Press 500
May Outreach Home town Journal 500
April Food distribution 101 E Macclenny Ave 200
May Food distribution 101 E Macclenny Ave 200
June Food distribution 101 E Macclenny Ave 200
Aug-Dec 2020
Feeding N/E Florida food distribution
101 E Macclenny Ave Macclenny Fl 32063 50
2020 Council on Aging Volusia County Outreach Activities:
Month/ Date
Council on Aging Volusia County Outreach Efforts
Location Total #
Participants Comments
1/9/2020 Windsor Apartment Presentation
Daytona Beach, FL 32114
10 Provided information
on services
PSA 4 2020 - 2022 Area Plan Date: September, 2020 29 | P a g e
1/13/2020 The Falls Presentation w/ ElderSource
Ormond Beach, FL 32174
9 Provided information
on services
1/14/2020 Presentation - Port Orange Library
Port Orange, FL 32129
20 Provided information
on services
1/16/2020
Duke Energy Community Collaboration Celebration
Orlando, FL 32804
41
Distributed Newsletters and
Flyers
2/4/2020 New Hope Baptist Church
Port Orange, FL 32129
15 Provided information
on services
2/11/2020 Halifax Healthcare at Home
Daytona Beach, FL 32114
1 Provided information
on services
2/18/2020 Port Orange Rotary
Port Orange, FL 32129
60 COA, Highlighted
Grant Funded MOW
2/21/2020 Volusia County Bar Association
Daytona Beach, FL 32114
20 Provided information
on services
3/24/2020 WNDB 1150 am Radio station
Volusia County 10,000
Broadcast on the radio and internet
3/25/2020 Spectrum TV Orlando-Daytona Beach-Melbourne
97,645
Broadcast TV Spots- we've been running Spectrum TV Campaign with
our Ads
4/1 - 4/12/2020
Spectrum TV Orlando/Daytona Beach/Melbourne
approx. 253,881 impressions; ** (spots ran 737 times)
Broadcast TV Spots; "Meals on Wheels" Spot
Week of 4/20-
4/24/2020 Church Outreach 32114
41 Churches received flyers; 36 Churches received flyers and phone calls
Letting them know we will provide free meals, for anyone over age 60- if they contact us, during COVID-19 crisis
PSA 4 2020 - 2022 Area Plan Date: September, 2020 30 | P a g e
5/1/2020
Virtual Senior Center Activity: Gardening while Social Distancing
Facebook LIVE 3,370 people reached Facebook
5/14/2020 Virtual Senior Center Activity: Medicare 101
United HealthCare Sponsored Facebook Video
186 people reached Video: Medicare 101
6/4/2020
"Talk it Out" - Hotline information about Depression
Social Media Posts 767 people
reached
6/5/2020
Resource listing for Veterans, Militaries amid COVID-19
Facebook: AARP article 164 people
reached
6/15/2020 World Elder Abuse Day
Social Media Posts
1,141 people reached
6/17/2020
Early Detection of Alzheimer's: Brain Bus program
Facebook Post 132 people reached
6/18/2020
Virtual Senior Center Activity: Growing Heat Resistant Plants
Facebook LIVE
422 people reached
6/23/2020 COVID-19 Resources information
Facebook Post: National Institute of Health
160 people reached
6/26/2020 News Story: COA Relaunches "Adopt a Route"
Hometown News 50,000 + daily subscribers
PSA 4 2020 - 2022 Area Plan Date: September, 2020 31 | P a g e
7/23/2020 TV Interview and Story
WESH-TV: Covers all of Central Florida 100,000 +
viewers
7/25/2020
News Story: Virus leaves older adults to cope w/isolation
DB News Journal -- All of Volusia County 61,000 daily
subscribers
7/30/2020 WSBB Radio Interview
WSBB Radio -- New Smyrna Beach
20,000 + listeners
7/31/2020 TV Interview and Story
Spectrum TV (Ch. 13): All of Central Florida 100,000 +
viewers
8/11/2020
Info for homeowners needing financial assistance during pandemic
Facebook post 1,505 people reached
Month
Council on Aging Volusia County Upcoming Outreach Efforts
Address/ Location
Anticipated #
Participants Comments
Sept., Oct., Nov. and Dec.
2020
Virtual Senior Center Activity (times 4-6 per month)
50- 200 people reached each
Sept., Oct., Nov. and Dec.
2020
Various Educational Social Media Posts on various dates (4-6 per month)
Facebook, Twitter, LinkedIn, Instagram
1000 people each
Oct., Nov. and
Dec.2020
News Story: Daytona Beach News Journal
DB News Journal -- All of Volusia County
61000 each
PSA 4 2020 - 2022 Area Plan Date: September, 2020 32 | P a g e
Oct., Nov. and Dec.
News Story: Hometown News
Hometown News -- All of Volusia County
50,000
October News Story: WESH TV
WESH-TV: Covers all of Central Florida
100,000
October Educational Mailing
Various educational materials 500
Nov. and Dec.
TV Campaign: 30 sec. spot on 6 networks
Spectrum TV (Ch. 13): All of Central Florida
100,000 reach each time
Oct., Nov. and Dec.
News Story Spectrum TV (Ch. 13): All of Central Florida
100,000 reach each time
12/2020 News Story The Ormond Beach Observers
13,500
2020 City of Jacksonville Senior Services Outreach Activities:
Month/ Date
City of Jacksonville Senior Services Outreach Efforts
Location Total #
Participants
Comments/ Best Practices/
Challenges
1/25/2020 Baptist Congregational Health Network
40 E. Adams St. 32202
25
Duval County Seniors w/
Emphasis on Low-Mod Income,
Alzheimer's, and Minority
Jan 2020 Independent Living
Presentation
River Front Adult Day Care
644 Cesery Blvd. 32211
10
Information Regarding
Independent Living Program
PSA 4 2020 - 2022 Area Plan Date: September, 2020 33 | P a g e
Jan 2020 Independent Living
Presentation
Jacksonville HUD 400 W. Bay St.
32202 25
Information Regarding
Independent Living Program
2/20/2020 Jake Godbold Funeral 1000 Water St. 32204
100 Coordinated Senior
Visits
2/10/2020 Outreach - Pablo Towers
115 3rd. St. 32250 55
Duval County Seniors w/
Emphasis on Low-Mod Income,
Alzheimer's, and Minority
Feb 2020 Wallace Small Grand
Reopening
Wallace Small Senior Center 1083 Line St.
32209
60 Programs At The
Wallace Small Senior Center
Feb 2020 Outreach Presentation
Downtown Ecumenical Society 215 N. Ocean St.
32202
25
Duval County Seniors w/
Emphasis on Low-Mod Income,
Alzheimer's, and Minority
3/4/2020 Outreach - Deerwood Place
8700 Skinner Pkwy 32256
30
Duval County Seniors w/
Emphasis on Low-Mod Income,
Alzheimer's, and Minority
3/13/2020 Outreach - Pablo Hamlet
1600 Shetter Ave. 32250
20
Duval County Seniors w/
Emphasis on Low-Mod Income,
Alzheimer's, and Minority
3/13/2020 First Coast Coordinators 1600 Shetter Ave. 32250
40
Duval County Seniors w/
Emphasis on Low-Mod Income,
Alzheimer's, and Minority
PSA 4 2020 - 2022 Area Plan Date: September, 2020 34 | P a g e
6/18/2020 Baptist Congregational Health
Zoom 50
Duval County Seniors w/
Emphasis on Low-Mod Income,
Alzheimer's, and Minority
Nov 2020 Jacksonville Senior
Expo (Tentative)
Prime Osborn Convention Center
1000 Water St. 32202
4000
Duval County Seniors w/
Emphasis on Low-Mod Income,
Alzheimer's, and Minority
2020 Flagler Senior Services Outreach Activities:
Month/ Date
Flagler Senior Services Outreach Efforts
Location Total #
Participants Comments/ Best
Practices/ Challenges
1/7/2020 Flagler County
Resource Council
Flagler County Public Library,
2500 Palm Coast Parkway, NW,
Palm Coast, FL 32137
20
1/8/2020 Parkinson's
Support Group
Belle Terre Swim & Racquet Club, 73
Patricia Drive, Palm Coast, FL
32164
40
1/10/2020
Senior Providers
Information Network (SPIN)
Market Street (Memory Care), 2 Corporate Drive, Palm Coast, FL
32137
40
1/25/2020 Flagler Home
& Lifestyle Show
Flagler Palm Coast High School, 5500 E Hwy 100, Palm Coast, FL 32164
500
Annual event sponsored by Flagler
County Schools -approx grand total
over 2 days
PSA 4 2020 - 2022 Area Plan Date: September, 2020 35 | P a g e
1/26/2020 Flagler Home
& Lifestyle Show
Flagler Palm Coast High School, 5500 E Hwy 100, Palm Coast, FL 32164
500
Annual event sponsored by Flagler
County Schools –approx. grand total
over 2 days
2/12/2020 Parkinson's
Support Group
Belle Terre Swim & Racquet Club, Palm Coast, FL
32137
40
2/13/2020
Senior Providers
Information Network (SPIN)
Market Street (Memory Care), Palm Coast, FL
32137
40
2/20/2020 10th Annual
Health & Fitness Event
Advent Health Palm Coast, 60
Memorial Medical Parkway, Palm
Coast, FL
100
2/27/2020
Serving Our Seniors (SOS)
in Flagler County
Flagler Health & Rehabilitation Center, 300 Dr
Carter Boulevard, Bunnell, FL 32110
15
3/3/2020 Flagler
Resource Council
Flagler County Public Library,
Palm Coast Coast, FL 32137
25
3/6/2020 Access Flagler
First Event
650 County Road 13, Bunnell, FL
32110 75
3/11/2020 Parkinson's
Support Group
Belle Terre Swim & Racquet Club, 73,
Palm Coast, FL 32110
40
April 2020 None COVID19 - Pandemic
Staff was active at Emergency
Operations Center during this time at our
assigned Human Services Branch
station.
PSA 4 2020 - 2022 Area Plan Date: September, 2020 36 | P a g e
5/19/2020 Flagler
Resource Council
Virtual Meeting 40
6/2/2020 Flagler
Resource Council
Virtual Meeting 40
July 2020
Senior Providers
Information Network (SPIN)
Market Street (Memory Care), Palm Coast, FL
32137
20
COVID19 CANCELLATION -- Virtual until further
notice
August 2020
Senior Providers
Information Network (SPIN)
Market Street (Memory Care), Palm Coast, FL
32137
45
August 2020 Parkinson's
Support Group VIRTUAL -- ZOOM 40
COVID19 CANCELLATION -- Virtual until further
notice
August 2020 Feeding
Northeast FL
Bella Vista Housing Complex, 910
Gunby Boulevard, Bunnell, FL
40
Senior housing complex: I&R, food
distribution, set up for MOW deliveries
September 2020
Senior Providers
Information Network (SPIN)
Market Street (Memory Care), Palm Coast, FL
32137
45
September 2020
Parkinson's Support Group
Belle Terre Swim & Racquet Club, 73
Patricia Drive, Palm Coast, FL
32137
40
COVID19 CANCELLATION -- Virtual until further
notice
September 2020
Feeding Northeast FL
Pinecreek Place, 2501 Leslie Street, Flagler Beach, FL
32136
20
Senior housing complex: I&R, food
distribution, set up for MOW deliveries
October 2020
Senior Providers
Information Network (SPIN)
Market Street (Memory Care), Palm Coast, FL
32137
25
PSA 4 2020 - 2022 Area Plan Date: September, 2020 37 | P a g e
October 2020
Parkinson's Support Group
Belle Terre Swim & Racquet Club, Palm Coast, FL
32137
40
COVID19 CANCELLATION -- Virtual until further
notice
October 2020
Access Flagler First Event
Flagler County Recreational Area,
@ Cattleman's Hall, 650 CR 13,
Bunnell, FL 32110
450
October 2020
Feeding Northeast FL
St. Paul Missionary Baptist Church, 108 Knox Jones
Road, Bunnell, FL 32110
30
Rural community church, I&R, food
distribution, set up for MOW deliveries
November 2020
Senior Providers
Information Network (SPIN)
Market Street (Memory Care), Palm Coast, FL
32137
45
November 2020
Feeding Northeast FL
Hidden Trails Community Center @ 6108 Mahogany Blvd., Bunnell, FL
32110
40
November 2020
Parkinson's Support Group
Belle Terre Swim & Racquet Club, Palm Coast, FL
32137
40
COVID19 CANCELLATION -- Virtual until further
notice
December 2020
Senior Providers
Information Network (SPIN)
Market Street (Memory Care), Palm Coast, FL
32137
45
December 2020
Feeding Northeast FL
St. Paul Missionary Baptist Church,
Bunnell, FL 32110 30
December 2020
Feeding Northeast FL
Hidden Trails Community Center @ 6108 Mahogany Blvd., Bunnell, FL
32110
40
PSA 4 2020 - 2022 Area Plan Date: September, 2020 38 | P a g e
December 2020
Parkinson's Support Group
Belle Terre Swim & Racquet Club, Palm Coast, FL
32137
40
COVID19 CANCELLATION -- Virtual until further
notice
December 2020
Access Flagler First Event
Flagler County Recreational Area,
@ Cattleman's Hall, 650 CR 13,
Bunnell, FL 32110
600
2020 Nassau County Council on Aging Outreach Activities:
Date/ Month
Nassau County Council on Aging Outreach Efforts
Location Total #
Participants
1/2/2020 Legal Chat - Ask a Lawyer NCCOA Fernandina Beach, FL
5
1/3/2020 SilverSneakers Just Dance NCCOA Fernandina Beach, FL
28
1/6/2020 SilverSneakers Stability (every Mon/Fri)
NCCOA Fernandina Beach, FL
23
1/6/2020 SilverSneakers Inner Chi (every Mon/Wed)
NCCOA Fernandina Beach, FL
37
1/7/2020 SilverSneakers Strength & Balance (every Tue/Thu)
NCCOA Fernandina Beach, FL
42
1/7/2020 SilverSneakers Strength & Balance (every Tue/Thu) - Chair based
NCCOA Fernandina Beach, FL
34
1/7/2020 Spanish - Learn by Immersion NCCOA Fernandina Beach, FL
13
PSA 4 2020 - 2022 Area Plan Date: September, 2020 39 | P a g e
2/5/2020 Spanish - Grammar and Conversation
NCCOA Fernandina Beach, FL
5
1/9/2020 Better Wellness with Apple Watch
NCCOA Fernandina Beach, FL
6
1/13/2020 How to Use an iPhone and iPad - January
NCCOA Fernandina Beach, FL
16
1/21/2020 How to Use an Apple MAC NCCOA Fernandina Beach, FL
6
1/24/2020 Intermediate American Sign Language
NCCOA Fernandina Beach, FL
4
1/27/2020 Are Healthy Bones Important? NCCOA Fernandina Beach, FL
5
2/13/2020 Issues in Cyber Security NCCOA Fernandina Beach, FL
8
2/24/2020 Alcoholic Beverages: How Much is Too Much
NCCOA Fernandina Beach, FL
2
3/3/2020 Hearing Loss Support Group NCCOA Fernandina Beach, FL
20
3/5/2020 Westside Chamber of Commerce Meeting
Callahan, FL 32011
40
5/13/2020 EOC COVID-19 Recovery Event
435 Citrona Drive, Fernandina Beach, FL 32034
40
6/9/2020 Recreation Master Plan On Zoom 7
July 2020
Virtual Inner Chi Exercise Silver Sneakers & RenewActive (every M, W)- Evidence Based
Facebook Group 15
PSA 4 2020 - 2022 Area Plan Date: September, 2020 40 | P a g e
July 2020 Real Talk for Caregivers AARP & FSU College of Medicine
Online 5
July 2020
Getting Ready for Storm Season AARP& City of Tallahassee Neighborhood Affairs Dept.
Webinar 5
July 2020 Legal Chat - Medicaid and SNAP
On Zoom 3
August 2020
Tai Chi for Arthritis NEFL AHEC (every T, Th) - Evidence Based
Online 5
August 2020
Honoring Choices Community Hospice & Palliative Care
On Zoom 5
August 2020
Legal Chat - Fair Housing Rights
On Zoom 3
Sept 2020
Caregiver Support Group On Zoom 10
Sept 2020
Virtual Strength & Balance Silver Sneakers & RenewActive (every W) - Evidence Based
Facebook Group 15
Sept 2020
Legal Chat - Homestead On Zoom 3
Oct 2020 Legal Chat - Tenants On Zoom 5
Oct 2020 Lighthouse Prayer Center 43694 Ratliff Road, Callahan, FL 32011
10
PSA 4 2020 - 2022 Area Plan Date: September, 2020 41 | P a g e
Oct 2020 Medicare/SHINE Presentation On Zoom 50
Nov 2020 Legal Chat - Consumer Rights On Zoom 5
Nov 2020 Blackrock Baptist Church 96362 Blackrock Road, Yulee, FL 32097
10
Nov 2020 Nassau County Veterans Services
76347 Veterans Way #4200, Yulee, FL 32097
5
Dec 2020 Bryceville Community Club Meeting- Branch Library
7280 Motes Road, Bryceville, FL 32009
5
Dec 2020 First Baptist Church of Gray Gables
54031 Church Road, Callahan, FL 32011
8
Dec 2020 Springhill Baptist Church
941017 Old Nassauville Road, Fernandina Beach, FL 32034
10
PSA 4 2020 - 2022 Area Plan Date: September, 2020 42 | P a g e
A list of tentative outreach activities scheduled in 2021 are listed in the tables below:
ElderSource Tentative Outreach Plans for 2021:
Month ElderSource Planned Outreach Efforts (any in-person events may be
impacted by COVID-19) Projected
Participants
January through at
least March 2021
Distributions throughout PSA 4 of bags, including educational/outreach materials/ brochures on ElderSource,
SHINE, and Elder Abuse Awareness, along with groceries and supplies, to go to seniors in need of food assistance.
200+
January 2021
Osher Lifelong Learning Institute (OLLI) at UNF - members work towards creating and delivering educational, cultural and
social opportunities for those age 50 and better 25
February Hilliard Parks and Rec Health Fair 50
March Cecil Pines Sr. Community Health Fair 100
April City of Jax Walk for Senior Health
3 Community Presentations – TBD Senior Boomer Expo
250 30 each
400
May Senior Expo Prime Osborn
3 Community Presentations – TBD St. Vincent’s Medical Mission
1,000 30 each
350
June Pride Fest
3 Community Presentations WEAAD Event
200 30 each
75
July Access Flagler (SHINE)
Flagler County Senior Expo - Daytona 200 350
August 3 Community Presentations – TBD
Caregiver Workshop Senior Boomer Expo – Clay County
30 each 50
300
September
Nassau County COA Health Fair Access Flagler (SHINE)
St John the Baptist Food Distribution Falls Prevention Social Media postings
250 200 200
50 reached
PSA 4 2020 - 2022 Area Plan Date: September, 2020 43 | P a g e
October
3 Community Presentations – TBD Caregiver Workshop Love A Senior Day
UF Health Senior Expo - Northside
30 each 250+
50-100
November 2 Community Presentations – TBD
Pride Fest 25 each
150+
December Access Flagler (SHINE) 200
On-going throughout
the year
SHINE brochures, Senior Medicare Patrol cards, and Elder Abuse brochures will be distributed with grocery distributions
from ElderSource, and via Meals on Wheels Program
20-300 each distribution
event
1-2 times per every 1-2 weeks throughout
year
Social Media postings on ElderSource, SHINE, and Elder Abuse/ Scams and related topics
300+
Various times
throughout 2021
Virtual Caregiver Workshops, and possibly in-person gatherings held through the Caregiver Coalition of Northeast
Florida, a program supported by ElderSource 20 each
AHEC (Area Health and Education Center) Tentative Outreach Plans for 2021:
Month AHEC Planned Outreach
Efforts Location
Description, and/or information on targeted audience
January 2021
Begin HEED, Active Living, Matter of Balance Programs, Tai Chi, and AFEP
Seven Counties Program Implementation
January 2021
Attend health fairs, NCOA, coalition, partnership, and team meetings.
All seven counties
We plan to attend an average of 25 monthly partnership meetings in addition to live health fairs or group gatherings when available.
PSA 4 2020 - 2022 Area Plan Date: September, 2020 44 | P a g e
January 2021
Wellness Coalition Meeting
Duval County Join and attend scheduled Wellness Coalition Meetings
February 2021
Attend health fairs, coalition, NCOA, and partnership meetings.
All seven counties
We plan to attend an average of 25 monthly partnership meetings in addition to live health fairs or group gatherings when available.
February 2021
CDSMP, CPSMP, DSMP, DEEP and Stepping On Program Implementation
All seven counties Offer CDSMP, DSMP, DEEP, CPSMP, and Stepping On Program
March 2021
Attend health fairs, coalition, NCOA, and partnership meetings.
All seven counties
We plan to attend an average of 25 monthly partnership meetings in addition to live health fairs or group gatherings when available.
March 2021
Implement SAIL and Savvy Caregiver Programs
Duval & Surrounding Counties
Offer SAIL and Savvy Caregiver Programs.
April 2021
Attend health fairs, coalition, NCOA, and partnership meetings.
All seven counties
We plan to attend an average of 25 monthly partnership meetings in addition to live health fairs or group gatherings when available.
April 2021
St. Vincent’s Medical Mission
1000 Water Street Jacksonville, FL 32204
Market live in-person, Zoom, and telephone programs and services in Duval County.
April 2021
Drug Take Back- Baker County
121 W Macclenny Ave, Macclenny, FL 32063
Market live in-person, Zoom, and telephone programs and services in Baker County.
April 2021
The Jacksonville Bridge Community Release Fair
604 Agmac Ave., Jacksonville, FL 32254
Market live in-person, Zoom, and telephone programs and services in Duval County.
May 2021
Attend health fairs, coalition, NCOA, and partnership meetings.
All seven counties
We plan to attend an average of 25 monthly partnership meetings in addition to live health fairs or group gatherings when available.
May 2021
The Jacksonville Bridge Community Release Fair
604 Agmac Ave., Jacksonville, FL 32254
Market live in-person, Zoom, and telephone programs and services in Duval County.
May 2021
2019 Tom Nehl Health Fair
417 Edgewood Ave. South Jacksonville, FL 32254
Market live in-person, Zoom, and telephone programs and services in Duval County.
PSA 4 2020 - 2022 Area Plan Date: September, 2020 45 | P a g e
May 2021
The Parts House Health Fair
10321 Fortune Parkway Jacksonville, FL 32256
Market live in-person, Zoom, and telephone programs and services in Duval County.
May 2021
Baker County Fish Fry -Baker County Fairgrounds
5567 Lauramore Rd. Macclenny, FL 32063
Market live in-person, Zoom, and telephone programs and services in Baker County.
June 2021
Attend health fairs, coalition, NCOA, and partnership meetings.
All seven counties
We plan to attend an average of 25 monthly partnership meetings in addition to live health fairs or group gatherings when available.
June 2021
Vicar's Landing Employee Health Fair
1000 Vicar's Landing Way Ponte Vedra Beach, FL 32082
Market live in-person, Zoom, and telephone programs and services in St. Johns County.
June 2021
Senior Men's Health Fair
Legends Center 5054 Soutel Dr. Jacksonville, FL 32209
Market live in-person, Zoom, and telephone programs and services in Duval County.
June 2021
Juneteenth Celebration Festival Health Fair
925 George Engram Blvd. Daytona Beach, FL 32114
Market live in-person, Zoom, and telephone programs and services in Volusia County.
July 2021
Disaster, Safety, Health and Wellness Fair
701 San Marco Blvd. Jacksonville, FL 32207
Market live in-person, Zoom, and telephone programs and services in Duval County.
July 2021
Daily Manna Summer Festival Health Fair
2659 Edison Ave., Jacksonville, FL. 32254
Market live in-person, Zoom, and telephone programs and services in Duval County.
Aug 2021
New Town Success Zone 1859 Kings Rd., Jacksonville, FL 32209
Market live in-person, Zoom, and telephone programs and services in Duval County.
Aug 2021
Attend health fairs, coalition, NCOA, and partnership meetings.
All seven counties
We plan to attend an average of 25 monthly partnership meetings in addition to live health fairs or group gatherings when available.
Aug 2021
Florida Blue Employee Expo
4800 Deerwood Campus Parkway, Jacksonville, FL 32246
Market live in-person, Zoom, and telephone programs and services in Duval County.
PSA 4 2020 - 2022 Area Plan Date: September, 2020 46 | P a g e
Aug 2021
2019 Flightstar Health Fair
6025 Flightline Drive, Jacksonville, FL 32221
Market live in-person, Zoom, and telephone programs and services in Duval County.
Sept 2021
Attend health fairs, coalition, NCOA, and partnership meetings.
All seven counties
We plan to attend an average of 25 monthly partnership meetings in addition to live health fairs or group gatherings when available.
Sept 2021
St. Johns County Fall Prevention Coalition
St. Johns County Fall Prevention Health Expo. Press releases, education opportunities
Sept 2021
Fall Prevention Presentation
Baker, Duval, Nassau, Clay, Flagler and Volusia Counties
Market fall prevention and balance programs
Sept 2021
The Springs Church Health Fair
317 Blanding Blvd., Orange Park, FL. 32073
Market live in-person, Zoom, and telephone programs and services in Clay County.
Oct 2021 Attend health fairs, coalition, NCOA, and partnership meetings.
All seven counties
We plan to attend an average of 25 monthly partnership meetings in addition to live health fairs or group gatherings when available.
Oct 2021 TIAA Building Downtown 301 W. Bay Street, Jacksonville FL 32202
Market live in-person, Zoom, and telephone programs and services in Duval County.
Oct 2021 Flagler County Health and Wellness Fair
TBA Market live in-person, Zoom, and telephone programs and services in Flagler County.
Oct 2021 Duval County Public Schools Retiree Fair
12000 Alumni Drive, Building 43, Jacksonville, FL 32224
Market live in-person, Zoom, and telephone programs and services in Duval County.
Oct 2021 One Voice For Volusia Health & Human Services Summit
101 N. Atlantic Blvd. Daytona Beach, FL 32118
Market live in-person, Zoom, and telephone programs and services in Volusia County.
Nov 2021
Meet with partners All seven counties
Meet with COA's, Aging True, County Senior Services, the Senior Advisory Council, community partners, and stake holders.
Nov 2021
City of Daytona Beach Fall Wellness Fair
925 George W. Engram Blvd., Daytona Beach, FL 32214
Market live in-person, Zoom, and telephone programs and services in Volusia County.
PSA 4 2020 - 2022 Area Plan Date: September, 2020 47 | P a g e
Dec 2021
Begin 2022 program marketing
All seven counties, in-person, and multimedia.
Market all programs throughout all seven counties.
Dec 2021
Schedule programs Jacksonville office
Contact sites and schedule programs if offering in-person programs. If not market live online and telephone programs.
Ongoing Multimedia All seven counties, in-person, and multimedia.
We plan to expand our multimedia digital library and program posts. Create short video's clips on program topics to peak program interest and assist with program marketing. We plan relate each topic to a health awareness topic of the month.
Monthly / Quarterly
Marketing new programs and services to contacts; If not, market live online and via telephone programs and services; In-person Marketing; Public Service Announcements; Email campaigns; Facilitator Marketing; attending Partnership Meetings; Social Media posts; AHEC Website online event calendar; Quarterly Press Releases.
All seven counties, in-person, and multimedia; online, mail, and live; all 7 county advertisers
1,800+ Flyers, additional marketing materials, and registration forms are created six-eight weeks in advanced of the program start date. These materials are available in multiple file formats (Word, PDF, JPEG etc.) for our community partners, contacts, and the general public. Flyers for the live webinars and telephone programs and services are sent electronically, and printed, or mailed as requested.
PSA 4 2020 - 2022 Area Plan Date: September, 2020 48 | P a g e
Area Health Education Center (AHEC) Tentative Outreach Plans for 2021:
Month AHEC Planned Outreach Efforts Location Anticipated Participants
Jan/ Mar/ May/ July/ Sept/ Nov
2021
Senior Roundtable- Networking/referrals across multiple demographics Virtual and TBD 50
April 2021 Clay County Fair Clay County Fairgrounds 20,000
Apr/ Jun/ Aug 2021 JSO Safety Fairs
Varied Northside/Westside parks and Regency Square Mall 500
May/ Nov 2021 Senior Expo
Prime Osborn Center & Moroccan Shrine Center 10,000
Fall 2021 Active After 50 Expo Thrasher Horne Auditorium (Clay County) 1000
Multiple Weekly 2021
Social Media posts/emails- Outreach across multiple demographics Facebook/Twitter/email unquantifiable
Monthly 2021
EHEAP marketing- Networking/referrals across multiple demographics
client mailings, social media, local publications unquantifiable
Monthly 2021
Caregiver Coalition workshops- Education/outreach to caregivers of the elderly Virtual and TBD 100
Monthly 2021
SPIN monthly meetings- Networking/referral source for colleagues in field of senior care Virtual and TBD 20
PSA 4 2020 - 2022 Area Plan Date: September, 2020 49 | P a g e
Baker County Council on Aging Tentative Outreach Plans for 2021:
Month/ Date
Baker County Council on Aging Planned Outreach Efforts
Location Anticipated Participants
Jan-Dec 2021
Feeding Northeast Florida Food distribution monthly
101 E Macclenny Ave Macclenny FL 32063
100
April Health Fair Ed Frazer Hospital 200
May Senior Fish Fry Baker County Fair Grounds 500
June Sheriffs Night Out Macclenny Duck Pond 300
Sep Senior Prom Baker County Agricultural Building
200
Sep Baker County Fair Baker County Fair Grounds 1200
Nov Senior Expo Heritage Park Macclenny FL 300
Dec Christmas Parade 101 E Macclenny Ave Macclenny FL 32063
1200
Council on Aging of Volusia County Tentative Outreach Plans for 2021:
Month Council on Aging Volusia County Planned Outreach Efforts
Anticipated Participants
January thru March 2021
Social Media Posts -- Educational Information - Facebook, Instagram, LinkedIn, Twitter
5000
January thru March 2021
Virtual Educational Presentations on YouTube 250
January thru March 2021
News Coverage -- Newspaper - News-Journal, Hometown News, Observer
125,000
January thru March 2021
News Coverage -- Television- Spectrum Ch. 13 (Volusia County)
200,000
January thru March 2021
Community Service Award Event - Daytona Beach 32114
300
April thru June 2021
Virtual Educational Presentations on YouTube 350
PSA 4 2020 - 2022 Area Plan Date: September, 2020 50 | P a g e
April thru June 2021
News Coverage -- Newspaper - News-Journal, Hometown News, Observer
125,000
April thru June 2021
News Coverage -- Radio Interviews- Volusia County - WNDB & WSBB
50,000
July thru Sep 2021
Expect to conduct live presentations 100
July thru Sep 2021
Continue with virtual educational presentations 250
July thru Sep 2021
Continue with educational & informational social media posts
5000
Oct thru Dec 2021 Expect to conduct live presentations 100
Oct thru Dec 2021 Continue with virtual educational presentations 250
Oct thru Dec 2021 Continue with educational & informational social media posts
5000
Oct thru Dec 2021 Dancing through the Decades event 350
Oct thru Dec 2021 TV ad campaign: 30 sec spots on 6 networks - Daytona Beach - 32114
180,000
City of Jacksonville Senior Services Tentative Outreach Plans for 2021:
Month City of Jacksonville Senior Services Planned Outreach Efforts
Anticipated Participants
Description, and/or information on targeted audience
January 2021
DOEA Senior Day 400 Seniors Performed At Senior Day
February 2021
Stratton & Company Retirement Seminar - UNF
150 Duval County Seniors w/ Emphasis on Low-Mod Income, Alzheimer's, and Minority
March 2021
Safety & Security Seminar Agricultural Extension Office Jacksonville
250 Information About the 2020 US Census
PSA 4 2020 - 2022 Area Plan Date: September, 2020 51 | P a g e
April 2021
Medical Mission at Home- Prime Osborn Convention Center
250 Duval County Seniors w/ Emphasis on Low-Mod Income, Alzheimer's, and Minority
April 2021
Fair Housing Symposium- Prime Osborn Convention Center
500 Duval County Seniors w/ Emphasis on Low-Mod Income, Alzheimer's, and Minority
May 2021
Caregiver Coalition Conference
800 Duval County Seniors w/ Emphasis on Low-Mod Income, Alzheimer's, and Minority
May 2021
Edward Waters College Mental Health Fair
150 Duval County Seniors w/ Emphasis on Low-Mod Income, Alzheimer's, and Minority
May 2021
Jacksonville Senior Expo- Morocco Shrine Auditorium
3000 Duval County Seniors w/ Emphasis on Low-Mod Income, Alzheimer's, and Minority
June 2021
World Elder Abuse Awareness Day
150 Duval County Seniors w/ Emphasis on Low-Mod Income, Alzheimer's, and Minority
September 2021
Senior Center Month Programs
250 Duval County Seniors w/ Emphasis on Low-Mod Income, Alzheimer's, and Minority
November 2021
Caregiver Coalition Conference
250 Duval County Seniors w/ Emphasis on Low-Mod Income, Alzheimer's, and Minority
November 2021
Health & Wellness Expo- Jacksonville City Hall
250 Duval County Seniors w/ Emphasis on Low-Mod Income, Alzheimer's, and Minority
November 2021
Jacksonville Senior Expo- Prime Osborn Convention Center
7000 Duval County Seniors w/ Emphasis on Low-Mod Income, Alzheimer's, and Minority
Various Outreach Presentations- various locations in Jacksonville
1500Avg. Annually
Duval County Seniors w/ Emphasis on Low-Mod Income, Alzheimer's, and Minority
Various Social Media 750
Followers
Duval County Seniors w/ Emphasis on Low-Mod Income, Alzheimer's, and Minority
Various Collaboration Meetings 75
Annually
Senior Center Information Pertinent to Collaboration (JPL Library, Movement4Change, Age Friendly, etc…)
PSA 4 2020 - 2022 Area Plan Date: September, 2020 52 | P a g e
Various Virtual Senior Center Unknown
Programs Will Be Offered Online To Augment Brick & Mortar Programming. Part Of These Programs Will Be Outreach Videos & Materials That The Seniors Can Share With Their Friends/Family
Flagler Senior Services Tentative Outreach Plans for 2021:
Month Flagler County Senior Services Planned Outreach Efforts
Location Anticipated Participants
January 2021
Flagler Home & Lifestyle Show
5550 E Highway 100, Palm Coast, FL 32164 (2-day event)
1000
January Access Flagler First Event- Annual 2 day event
Flagler County Recreational Area, @ Cattleman's Hall, 650 CR 13, Bunnell, FL 32110
1000
Monthly Jan- Dec
2021
Senior Providers Information Network (SPIN)
Market Street (Memory Care), 2 Corporate Drive, Palm Coast, FL 32137
45 each meeting
Monthly Jan- Dec
2021
Parkinson's Support Group
Belle Terre Swim & Racquet Club, 73 Patricia Drive, Palm Coast, FL 32164
40 each meeting
February 11th Annual Health & Fitness Event
Advent Health Palm Coast, 60 Memorial Medical Parkway, Palm Coast, FL
45
February Senior Outreach Flagler/Clay Housing Authority, 414 S Bacher Street, Bunnell, FL 32110
20
March Senior Outreach Espanola Community Center, 3570 CR 205, Bunnell, FL
15
Mar, Jun, Oct & Dec
Access Flagler First Event
Flagler County Recreational Area, @ Cattleman's Hall, 650 CR 13, Bunnell, FL 32110
300-500 each
April 9th Annual Health & Wellness Fair
St Elizabeth Ann Seton Church, 4600 Belle Terre Parkway, Palm Coast, FL 32137
400
April Hidden Trails Hidden Trails Community Center @ 6108 Mahogany Blvd., Bunnell, FL 32110
20
PSA 4 2020 - 2022 Area Plan Date: September, 2020 53 | P a g e
April 2021 Housing Fair 4101 E Moody Blvd, Bunnell, FL 32110 150
May Senior Outreach Bella Vista Housing Complex, 910 Gunby Boulevard, Bunnell, FL
25
June Tenant's Rights Workshop
1769 E Moody Blvd, Bunnell, FL 32110 25
June Field & Family Day Carver Center, 203 E. Drain Street, Bunnell, FL 32110
50
July Senior Outreach Pinecreek Place, 2501 Leslie Street, Flagler Beach, FL 32136
August Senior Outreach Community Baptist Church, 956 S Old Dixie Hwy, Bunnell, FL 32110
25
November Senior Outreach Westside Baptist Church, 3559 Canal Avenue, Bunnell, FL 32110
15
November Flagler County Citizens Academy
Flagler County Public Library, 2500 Palm Coast Parkway, NW, Palm Coast, FL
30
December Senior Outreach Hammock Community Center,9 Malacompra Road, Palm Coast, FL 32137
20
Nassau County Council on Aging Tentative Outreach Plans for 2021:
Month Nassau County Council on Aging
Planned Outreach Efforts Location
Anticipated Participants
Jan-21 New Year's Health and Fitness Fair (planned face to face if able)
37516 Oxford Street, Hilliard, FL 32046
20
Jan-21 River of Praise Worship Center (planned for Zoom call)
83410 St. Mark Drive, Yulee, FL 32097
10
Jan-21 First Baptist Church Callahan (planned for Zoom call)
45090 Green Ave., Callahan, FL 32011
10
Feb-21 River Road Baptist Church (planned for Zoom call)
21067 County Road 121, Hilliard, FL 32046
5
Feb-21 Greater Nassau Chamber of Commerce (planned for Zoom call)
450102 State Road 200, Callahan, FL 32011
10
PSA 4 2020 - 2022 Area Plan Date: September, 2020 54 | P a g e
Feb-21 Third Mt. Zion Baptist Church (planned for Zoom call)
22 S. 4th St., Fernandina Beach, FL 32034
5
Mar-21 Memorial United Methodist Church (planned for Zoom call)
601 Centre St, Fernandina Beach, FL 32034
15
Mar-21 First Baptist Church of Boulougne (planned for Zoom call)
28226 Church Drive, Hilliard, FL 32046
10
Mar-21 First United Methodist Church of Callahan (planned for Zoom call)
449644 US-301, Callahan, FL 32011
10
Apr-21 McArthur Family YMCA Senior Day (planned face to face if able)
1915 Citrona Drive, Fernandina Beach, FL 32034
20
Apr-21 Caregiver Support Group 1901 Island Walk Way, Fernandina Beach, FL 32034
15
Apr-21 Military Officers Association 2800 Bill Melton Road, Fernandina Beach, FL 32034
10
May-21 St. Peter's Episcopal Church (planned for Zoom call)
801 Atlantic Ave., Fernandina Beach
15
May-21 NCEM Disaster Preparedness (planned for Zoom call)
37002 Ingham Road, Hilliard, FL 32046
25
May-21 Nassau County Veterans Services (planned for Zoom call)
76347 Veterans Way #4200, Yulee, FL 32097
25
Jun-21 Caring for the Caregiver Fair (planned face to face if able)
1901 Island Walk Way, Fernandina Beach, FL 32034
25
Jun-21 West Nassau Charities (planned face to face if able)
450102 State Road 200, Callahan, FL 32011
15
Jun-21 St. Michael's Catholic Church (planned for Zoom call)
505 Broome Street, Fernandina Beach, FL 32034
15
Jul-21 Lighthouse Prayer Center (planned for Zoom call)
43694 Ratiff Road, Callahan, FL 32011
20
Jul-21 Prince of Peace Lutheran Church (planned for Zoom call)
2600 Atlantic Ave., Fernandina Beach, FL 32034
25
Jul-21 Chamber of Commerce (planned face to face if able)
5514 US-1 Hilliard, FL 32046 30
Aug-21 Department of Transportation Presentation (planned face to face if able)
102 N. 13th Street, Fernandina Beach, FL 32034
25
Aug-21 Yulee Baptist Church (planned face to face if able)
859 N. Harts Rd., Yulee, FL 32097
50
Aug-21 Bryceville Community Club Meeting - Library (planned face to face if able)
7280 Motes Rd., Bryceville, FL 32009
25
PSA 4 2020 - 2022 Area Plan Date: September, 2020 55 | P a g e
Sep-21 First Baptist Church of Gray Gables (planned face to face if able)
54031 Church Rd., Callahan, FL 32011
50
Sep-21 NCCOA Senior Expo and Health Fair (planned face to face if able)
2500 Atlantic Ave., Fernandina Beach, FL 32034
400
Sep-21 Chamber of Commerce (planned face to face if able)
85041 Christian Way, Yulee, FL 32097
40
Oct-21 Medicare/SHINE presentation (planned face to face if able)
1901 Island Walk Way, Fernandina Beach, FL 32034
40
Oct-21 Blackrock Baptist Church (planned face to face if able)
96362 Blackrock Rd., Yulee, FL 32097
50
Oct-21 Celebration Church (planned face to face if able)
416 Alachua St., Fernandina Beach, FL 32034
75
Nov-21 Farmshare Distribution (planned face to face if able)
37002 Ingham Road, Hilliard, FL 32046
100
Nov-21 Newcomer's Club of America (planned face to face if able)
9900 Amelia Island Pkwy #200, Fernandina Beach, FL 32034
40
Nov-21 Partnership for a Healthier Nassau (planned face to face if able)
76346 William Burgess Blvd., Yulee, FL 32097
100
Dec-21 Live Oak Baptist Church (planned face to face if able)
36178 Congregation Lane, Callahan, FL 32046
50
Dec-21 Sunrise Rotary-Amelia Island (planned face to face if able)
2800 Bill Melton Road, Fernandina Beach, FL 32034
40
Dec-21 NCCOA Gala (planned face to face if able)
1901 Island Walk Way, Fernandina Beach, FL 32034
200
PSA 4 2020 - 2022 Area Plan Date: September, 2020 56 | P a g e
Unmet Needs and Service Opportunities
This section defines the significant unmet needs for services and how the AAA will address gaps in service.
While the unmet needs and service opportunities of the originally submitted 2020-2022 Area Plan are still valid, the impact of the COVID-19 Pandemic has resulted in the need to expand on this section of the Area Plan:
Access to Services:
Overview of Unmet Need/ Analysis of Service Implications of Identified Unmet Needs –
Access to Services:
Due to CDC recommendations, and in response to COVID19, Senior Centers and Adult
Day Care Centers have been closed since March 2020. In addition, Clients have
refused the provision of in-home services provided to them prior to COVID as a means
to protect themselves from the pandemic. Individuals over the age of 60 have been
identified as a vulnerable population and have been encouraged to limit activities
outside of their personal residence. This has made it more difficult for older adults to
access assistance for their needs. It is critical that older people can access information,
services and referrals during the pandemic.
Seniors centers help seniors to remain engaged in the community, promote healthy
habits and prevent social isolation. The closure of these centers has made an impact on
older adults being able to socialize with other older adults and get a nutritious meal
provided for the day. We have recognized the importance of addressing the rise in
needed services, food insecurity problems, and the need to ensure that older adults
have access to correct information. There is a need to ensure older adults have access
to the care and support they need during the COVID-19 outbreak, and additionally, their
families and caregivers have to be supported.
Actions – Access to Services:
With funding from the First Coast Relief Fund, United Way of Northeast Florida and
Florida Blue, ElderSource has spearheaded multiple activities to address the unmet
need of getting access to services to older adults.
ElderSource partnered with a local transportation agency and with FarmShare to
provide much needed nutritious food to older adults who contacted the ADRC in need.
Through a collaboration with the University of Northeast Florida, ElderSource was able
to provide home-delivered meals to individuals in low-income housing in areas of Duval
PSA 4 2020 - 2022 Area Plan Date: September, 2020 57 | P a g e
County. ElderSource also assisted with emergent needs for seniors who contacted the
ADRC helpline such as financial assistance for rent and utilities.
ElderSource works towards the identification and dissemination of best practices to
assess the most vulnerable older adults, while limiting the exposure of older adults and
their caregivers to COVID-19. ElderSource will continue to work on improving the
coordination of interventions to identify gaps and reduce duplication of efforts.
ElderSource will continue its’ efforts in helping the most vulnerable older adults with
access to services, resources and information via the ADRC. This includes assessing
high risk older adults’ needs, providing much needed COVID-19-specific education and
social connection, while ensuring they have food, emergency financial and other
needed assistance.
ElderSource and its’ providers are increasing home-delivered meals programs, which
are working to fill the gaps created when senior centers and congregate meal programs
shuttered due to COVID-19. In addition, ElderSource and its’ providers continue to
expand the number of older adults receiving assistance through the telephone
reassurance program. ElderSource and providers will continue to partner with other
local organizations to identify and develop creative ways to address the limitations of
support services in certain areas.
Caregiver:
Overview of Unmet Need/ Analysis of Service Implications of Identified Unmet Needs -
Caregiver:
Many caregivers find various activities become a problem because of the daily demands
of caregiving. Difficulty performing routine activities and increased stress over an
extended time can reduce quality of life, family relationships, and work performance.
COVID-19 has exacerbated these challenges for family / caregivers. If family caregivers
have jobs that require them to be in regular contact with others, such as bus drivers or
nurses, they may have to decide between not providing essential help to an older loved
one and risking passing the virus to that person.
Adapting and developing innovative services to overcome the risks associated with social isolation, and supporting family caregivers who now have additional responsibilities for homebound individuals are essential during this pandemic.
Actions - Caregiver:
ElderSource has several strategies in place and plans to pursue additional actions to
address the needs associated with caregivers throughout the planning period.
ElderSource is the fiscal agent for the Caregiver Coalition of Northeast Florida.
PSA 4 2020 - 2022 Area Plan Date: September, 2020 58 | P a g e
ElderSource, through the ElderSource Institute has created the Virtual Caregiver
Support Group program, which uses internet video conferencing to provide caregivers a
safe place to share information, ask questions, and voice personal feelings and stories,
in real time. ElderSource will continue to support and advance the Caregiver Coalition
partnership and will assist caregivers to improve caregiving skills, reduce caregiver
stress and extend the ability and likelihood of caregivers continuing to provide care.
ElderSource will continue to provide support to socially isolated caregivers via the
Virtual Caregiver Support program.
ElderSource requires that OAA-funded providers, with the exception of AHEC and legal
providers, offer mental health counseling to older adults. In response to COVID, the
eligibility for this service has been expanded to include caregivers. To address the
concern of meeting in-person, OAA-funded providers are using telehealth as a delivery
method.
Communities:
Overview of Unmet Need/ Analysis of Service Implications of Identified Unmet Needs-
Communities:
Older adults who live alone may typically rely on family and/or friends for some
supportive assistance. Some older people depend on help from a family member or
friend with chores, sorting mail and sending in checks to pay bills. At this point, people
may not have had someone come into the home to help with those kinds of things for
many weeks.
Due to the risks associated with COVID-19, those providing support may be staying
away to protect the older adult from possibly being exposed to the pandemic.
Addressing rising social isolation, increased mental health and substance abuse issues
among older adults is of critical importance. This vulnerable population faces a double
risk, first from the virus and second from the effects of isolation on their physical and
mental health. It is important to assess and provide much needed social connection,
while ensuring older adults have food, financial and other needed assistance.
Due to COVID-19, rules and regulations for sheltering during a disaster, like during a
hurricane have changed. Shelters are going to have a smaller capacity and there is
more need for sheltering in places like hotels for those who test positive for COVID-19.
In case of a disaster, many older adults will need access to a special needs shelter.
Actions- Communities:
ElderSource and its providers have adapted programs previously provided in
congregate settings to virtual delivery. In addition, nutrition providers throughout the
PSA 4 2020 - 2022 Area Plan Date: September, 2020 59 | P a g e
PSA have partnered with restaurants to provide additional meals to older adults who are
in need.
Providers will encourage all new clients as well as established clients, to complete the
Special Needs Registry early, and to be sure to provide information annually.
ElderSource will continue to coordinate care and seek out public/private partnerships to
expand resources to address unmet needs of elders and caregivers in the community.
Health Care:
Overview of Unmet Need/ Analysis of Service Implications of Identified Unmet Needs –
Health Care:
COVID-19 risks older adults not getting enough of the social contact that they really need to maintain their current underlying conditions and get the health care that they need. Loneliness can also exacerbate underlying chronic conditions. When it comes to COVID-19, the disease caused by the new coronavirus, older people are especially vulnerable to severe illness. Research is showing that adults 60 and older, especially those with preexisting medical conditions, especially heart disease, lung disease, diabetes or cancer are more likely to have severe — even deadly — coronavirus infection than other age groups. Physical distancing doesn’t have to mean isolation or loneliness. We need to keep older adults safe, but also keep in mind that social isolation can have a negative impact on older people’ immunity and health. Adapting and developing innovative services geared towards improved access to health care services and resources. We recognize that prioritizing venues older adults can reach, expansion of telemedicine options beyond what is currently covered, and supporting family caregivers who now have additional responsibilities for homebound individuals is essential.
Actions – Health Care:
ElderSource partners with the Area Health Education Center (AHEC) to promote education on health promotion and disease prevention through its evidence-based programs. ElderSource and its providers work with local health departments on health improvement plans and advocate for the needs of the aging population.
PSA 4 2020 - 2022 Area Plan Date: September, 2020 60 | P a g e
Home and Community-Based Services (HCBS):
Overview of Unmet Need/ Analysis of Service Implications of Identified Unmet Needs –
HCBS:
The majority of volunteers who assist with in-home services are older adults. This has
presented a challenge for in-home service providers. The role of home and community-
based services (HCBS) in supporting older adults has never been more critical, with the
COVID-19 pandemic disproportionately affecting those age 60+. This vulnerable
population faces a double risk, first from the virus and second from the effects of
isolation on their physical and mental health. There is an increased number of older
adults and their families/ caregivers in need of home and community-based services
that may not have needed assistance prior to the pandemic.
Older adults who were able to get their needs taken care of by family members and
other helpers, can be in a crisis now, because their helpers are either no longer
available to assist, or are fearful of exposing the older adult to the virus.
They may now lack the health care resources and social structures that contribute to
overall wellness. There are mental health challenges that are layered on top of the
current situation. Older adults have realized the course of being isolated is going to be
much longer for them than for everyone else, and sadness, loneliness and some
hopelessness can easily set in. The lack of attention to personal care, medication
management, and nutrition will lead to deterioration of health and the need for more
supportive services in the long term.
Actions – HCBS:
ElderSource has developed, and will continue to grow its’ telephone reassurance
program, called Caring Connections, which is geared towards addressing social
isolation.
ElderSource and providers will continue to partner with other local organizations to
identify and develop creative ways to address the limitations of support services in
certain areas. ElderSource and its providers will seek out additional funding to support
agency needs.
PSA 4 2020 - 2022 Area Plan Date: September, 2020 61 | P a g e
Goals and Objectives
No changes needed
PSA 4 2020 - 2022 Area Plan Date: September, 2020 62 | P a g e
Appendix 1: Direct Service Waiver Requests
DIRECT SERVICE WAIVER REQUEST FORM
Insert completed forms for each direct service waiver request. It is not necessary to
submit waiver requests for outreach, information and assistance, and referral, as the
state has a statewide waiver for these services.
OAA Title: ☒ III B ☐ III C1 ☐ III C2 ☐ III D ☒ III E
Service: Intake
Intake involves the administration of standard intake and screening instruments for
the purpose of gathering information about an applicant for services. It also
encompasses the follow-up of clients waiting for services to review any changes in
their situations and ensure prioritization for services.
Section 307(a)(8) of the Older Americans Act provides that services will not be provided
directly by the State Agency or an Area Agency on Aging unless, in the judgment of the
State agency, it is necessary due to one or more of the three provisions listed below.
I. Please select the basis for which the waiver is requested (more than one may be selected).
☐ (i) provision of such services by the State agency or the Area Agency on
Aging is necessary to assure an adequate supply of such services;
☒ (ii) such services are directly related to such State agency’s or Area Agency
on Aging’s administrative functions; or
☐ (iii) such services can be provided more economically, and with
comparable quality, by such State agency or Area Agency on Aging.
II. Provide a detailed justification for the waiver request.
Intake involves the administration of standard intake and screening instruments for
the purpose of gathering information about an applicant for services. It also
encompasses the follow-up of clients waiting for services to review any changes in
their situations and ensure prioritization for services. ElderSource proposes to retain
the service of Intake for the 2020-2022 years included in this Area Plan.
PSA 4 2020 - 2022 Area Plan Date: September, 2020 63 | P a g e
III. Provide documentation of the public hearing held to gather public input on the
proposal to directly provide service(s).
ElderSource held 9 public hearings between April 26, 2019 and May 31, 2019 in each of the seven counties that encompass PSA 4. A list of public hearing locations and schedules are listed below:
County Location Name Address Public Hearing
Date Public Hearing
Time
St Johns Coastal Community Center 180 Marine Street, St Augustine, 32084
26-Apr 10:30a-11:30a
Flagler George Wickline Senior Center 80 S. Daytona Ave. Flagler Beach, 32136
9-May 11a-12p
Duval Lincoln Villa 7866 New Kings Rd, Jax 32219 13-May 10:30a-11:30a
Duval Mary Singleton Senior Citizens Center 150 East 1st St, Jacksonville, FL 32206
21-May 10a-11a
Volusia Michael & Libby Johnson Center for Civic Engagement at Bethune-Cookman University
740 International Speedway Blvd., Bethune-Cookman University, Daytona Beach, Florida 32114
22-May 10:30a-11:30a
Volusia Unitarian Universalist Congregation of Ormond Beach
56 N Halifax Dr, Ormond Beach, FL 32176
22-May 2:30-3:30p
Baker Glen Baptist Church 9846 George Taber Blvd., Glen St. Mary, FL 32040
28-May 2p-3p
Clay Clay County Council on Aging 414 Stowe Avenue, Orange Park, 32073
29-May 10:30a-11:30a
Nassau Council on Aging- in the Grand Hall 1901 Island Walk Way, Fernandina Beach 32034
31-May 9a-10a
PSA 4 2020 - 2022 Area Plan Date: September, 2020 64 | P a g e
DIRECT SERVICE WAIVER REQUEST FORM
Insert completed forms for each direct service waiver request. It is not necessary to
submit waiver requests for outreach, information and assistance, and referral, as the
state has a statewide waiver for these services.
OAA Title: ☐ III B ☐ III C1 ☐ III C2 ☒ III D ☐ III E
Service: Applied Suicide Intervention Skills Training (ASIST)
ASIST was developed by Living Works. ASIST is a two- day face-to-face workshop
in which trainers guide learners in recognizing signs of suicide, providing a skilled
intervention and developing a safety plan to keep someone alive. Two trainers lead
each session. ASIST provides those in formal helping roles with professional
development to ensure that they are prepared to provide suicide first aid help as part
of the care they provide.
Section 307(a)(8) of the Older Americans Act provides that services will not be provided
directly by the State Agency or an Area Agency on Aging unless, in the judgment of the
State agency, it is necessary due to one or more of the three provisions listed below.
I. Please select the basis for which the waiver is requested (more than one may be selected).
☐ (i) provision of such services by the State agency or the Area Agency on
Aging is necessary to assure an adequate supply of such services;
☐ (ii) such services are directly related to such State agency’s or Area Agency
on Aging’s administrative functions; or
☒ (iii) such services can be provided more economically, and with
comparable quality, by such State agency or Area Agency on Aging.
II. Provide a detailed justification for the waiver request.
According to an article published in the Daytona Beach News-Journal, Flagler
County and Volusia County have two of the highest rates of suicide in the state (29.2
per 1,000 people and 23.4 per 1,000 people respectively).
PSA 4 2020 - 2022 Area Plan Date: September, 2020 65 | P a g e
There are currently no providers in the planning and service area that provide the
above requested service that meet the requirement of the OAA Title III D contract,
which states that we must provide evidence-based disease prevention and health
promotion programs that meet the highest level criteria.
It is ElderSource’s intention to improve planning and programming for the OAA Title
III D program. By coordinating sessions with Lead Agencies and additional aging
network providers, ElderSource will be able to assure an adequate supply of
services and maximizes the benefits for participants. An adequate supply and an
array of choices of evidenced-based services will enable ElderSource to achieve a
greater impact on the health of seniors in its planning and service area.
III. Provide documentation of the public hearing held to gather public input on the
proposal to directly provide service(s).
ElderSource held 9 public hearings between April 26, 2019 and May 31, 2019 in each of the seven counties that encompass PSA 4. A list of public hearing locations and schedules are listed below:
County Location Name Address Public Hearing Date Public Hearing
Time
St Johns Coastal Community Center 180 Marine Street, St Augustine, 32084
26-Apr 10:30a-11:30a
Flagler George Wickline Senior Center
80 S. Daytona Ave. Flagler Beach, 32136
9-May 11a-12p
Duval Lincoln Villa 7866 New Kings Rd, Jax 32219 13-May 10:30a-11:30a
Duval Mary Singleton Senior Citizens Center
150 East 1st St, Jacksonville, FL 32206
21-May 10a-11a
Volusia
Michael & Libby Johnson Center for Civic Engagement at Bethune-Cookman University
740 International Speedway Blvd., Bethune-Cookman University, Daytona Beach, Florida 32114
22-May 10:30a-11:30a
Volusia Unitarian Universalist Congregation of Ormond Beach
56 N Halifax Dr, Ormond Beach, FL 32176
22-May 2:30-3:30p
Baker Glen Baptist Church 9846 George Taber Blvd., Glen St. Mary, FL 32040
28-May 2p-3p
Clay Clay County Council on Aging
414 Stowe Avenue, Orange Park, 32073
29-May 10:30a-11:30a
Nassau Council on Aging- in the Grand Hall
1901 Island Walk Way, Fernandina Beach 32034
31-May 9a-10a
PSA 4 2020 - 2022 Area Plan Date: September, 2020 66 | P a g e
DIRECT SERVICE WAIVER REQUEST FORM
Insert completed forms for each direct service waiver request. It is not necessary to
submit waiver requests for outreach, information and assistance, and referral, as the
state has a statewide waiver for these services.
OAA Title: ☐ III B ☐ III C1 ☐ III C2 ☒ III D ☒ III E
Service: Chronic Pain Self-Management Program
The Chronic Pain Self-Management Program helps older adults with chronic pain to
better manage their symptoms and their daily lives. This evidence-based program
developed by the Self-Management Resource Center (SMRC), provides information
and teaches practical skills, giving older adults the confidence and motivation they
need to manage the challenges of living with chronic pain.
Workshops last two and a half hours, once a week, for six weeks. Sessions focus on
action-planning, decision-making, and problems-solving. Two trained Leaders
facilitate the workshops, one or both of whom are non-health professionals (peers).
The workshop developers (SMRC) have scripted the workshop for content as well as
the interactions of the Leaders with the workshop participants. Leaders follow the
manual and do not change material or activities. They use their own words while still
following the script in order to make it relevant and culturally appropriate for their
community. The workshops are designed to be self-tailoring, meaning that different
participants will be working on different behavior changes and problems, depending
on their own needs and preferences.
Section 307(a)(8) of the Older Americans Act provides that services will not be provided
directly by the State Agency or an Area Agency on Aging unless, in the judgment of the
State agency, it is necessary due to one or more of the three provisions listed below.
I. Please select the basis for which the waiver is requested (more than one may be selected).
☐ (i) provision of such services by the State agency or the Area Agency on
Aging is necessary to assure an adequate supply of such services;
☐ (ii) such services are directly related to such State agency’s or Area Agency
on Aging’s administrative functions; or
PSA 4 2020 - 2022 Area Plan Date: September, 2020 67 | P a g e
☒ (iii) such services can be provided more economically, and with
comparable quality, by such State agency or Area Agency on Aging.
II. Provide a detailed justification for the waiver request.
A recent study led by a University of Florida Institute on Aging researcher has found
the brain age of older adults with chronic pain had accelerated by an average of two
years. The greater the pain intensity they were experiencing, the older looking their
brain. Individuals without chronic pain had on average a brain that appeared four
years younger than their actual age. “The pain experience is not just in your brain,”
said Cruz-Almeida. “It’s related to social, environmental and lifestyle factors” that
might be managed to keep the brain young.
Per the Substance Abuse and Mental Health Services Administration (SAMHSA),
there is a growing number of older adults with mental health, substance use
disorders, or both; and that older adults have needs that require special attention
and training in order to provide the most effective care and treatment.
The consumption of opioid analgesics by adults has soared during the past decade.
“These reports underscore the growing and under-recognized concerns with opioid
use disorder in older populations, including those who suffer from chronic pain and
are at risk for adverse events from opioids," said Dr. Arlene Bierman, the Director of
the Agency for Healthcare Research and Quality’s Center for Evidence and Practice.
There is currently one Provider in the planning and service area that provides the
above requested service that meet the requirement of the OAA Title III D contract,
which states that we must provide evidence-based disease prevention and health
promotion programs that meet the highest level criteria.
It is ElderSource’s intention to improve planning and programming for the OAA Title
III D program. By coordinating sessions with Lead Agencies and additional aging
network providers, ElderSource will be able to assure an adequate supply of
services and maximizes the benefits for participants. An adequate supply and an
array of choices of evidenced-based services will enable ElderSource to achieve a
greater impact on the health of seniors in its planning and service area.
III. Provide documentation of the public hearing held to gather public input on the
proposal to directly provide service(s).
ElderSource held 9 public hearings between April 26, 2019 and May 31, 2019 in each of the seven counties that encompass PSA 4. A list of public hearing locations and schedules are listed below:
PSA 4 2020 - 2022 Area Plan Date: September, 2020 68 | P a g e
County Location Name Address Public Hearing Date Public Hearing Time
St Johns Coastal Community Center
180 Marine Street, St Augustine, 32084
26-Apr 10:30a-11:30a
Flagler George Wickline Senior Center
80 S. Daytona Ave. Flagler Beach, 32136
9-May 11a-12p
Duval Lincoln Villa 7866 New Kings Rd, Jax 32219
13-May 10:30a-11:30a
Duval Mary Singleton Senior Citizens Center
150 East 1st St, Jacksonville, FL 32206
21-May 10a-11a
Volusia
Michael & Libby Johnson Center for Civic Engagement at Bethune-Cookman University
740 International Speedway Blvd., Bethune-Cookman University, Daytona Beach, Florida 32114
22-May 10:30a-11:30a
Volusia
Unitarian Universalist Congregation of Ormond Beach
56 N Halifax Dr, Ormond Beach, FL 32176
22-May 2:30-3:30p
Baker Glen Baptist Church
9846 George Taber Blvd., Glen St. Mary, FL 32040
28-May 2p-3p
Clay Clay County Council on Aging
414 Stowe Avenue, Orange Park, 32073
29-May 10:30a-11:30a
Nassau Council on Aging- in the Grand Hall
1901 Island Walk Way, Fernandina Beach 32034
31-May 9a-10a
PSA 4 2020 - 2022 Area Plan Date: September, 2020 69 | P a g e
DIRECT SERVICE WAIVER REQUEST FORM
Insert completed forms for each direct service waiver request. It is not necessary to
submit waiver requests for outreach, information and assistance, and referral, as the
state has a statewide waiver for these services.
OAA Title: ☐ III B ☐ III C1 ☐ III C2 ☒ III D ☐ III E
Service: Healthy Ideas
Healthy Ideas (Identifying Depression & Empowering Activities for Seniors) is a
structured depression program designed to identify depression in at-risk older adults
and to facilitate access to treatment. It targets underserved, chronically ill, older
adults in the community and addresses commonly recognized barriers to mental
health care: detecting depression; helping clients understand depression as
treatable; assisting them to gain knowledge and skills to self-manage their
symptoms; and linking primary care, mental health care and social service providers.
Healthy IDEAS empowers clients to manage their depression through a behavioral
activation approach that encourages involvement in meaningful, positive activities.
The program is delivered as part of routine case management services over a 3-6
month period through face-to-face visits in the client’s home and telephone contacts.
Typically the program involves at least three face-to-face visits and at least three
telephone contacts, although clients with more severe depression symptoms may
require more contacts or attention beyond an initial intervention period. It involves
partnering with organizations that can add expertise from behavioral/mental health to
the strengths of aging services.
Section 307(a)(8) of the Older Americans Act provides that services will not be provided
directly by the State Agency or an Area Agency on Aging unless, in the judgment of the
State agency, it is necessary due to one or more of the three provisions listed below.
I. Please select the basis for which the waiver is requested (more than one may be selected).
☐ (i) provision of such services by the State agency or the Area Agency on
Aging is necessary to assure an adequate supply of such services;
☐ (ii) such services are directly related to such State agency’s or Area Agency
on Aging’s administrative functions; or
PSA 4 2020 - 2022 Area Plan Date: September, 2020 70 | P a g e
☒ (iii) such services can be provided more economically, and with
comparable quality, by such State agency or Area Agency on Aging.
II. Provide a detailed justification for the waiver request.
Per the Substance Abuse and Mental Health Services Administration (SAMHSA),
there is a growing number of older adults with mental health, substance use
disorders, or both; and that older adults have needs that require special attention
and training in order to provide the most effective care and treatment.
Seniors living with a spouse have a higher chance of remaining in their community,
and spouses contribute to better mental health. Duval and Volusia Counties have
the highest percentages of those ages 60 and over who live alone within PSA 4.
Six of the seven counties in PSA 4 have food deserts, and PSA 4 has 11-17% of
their adults that are food insecure. Food insecure individuals have overall higher
health costs, as they often have higher rates of chronic disease, including
depression
There are currently no providers in the planning and service area that provide the
above requested service that meet the requirement of the OAA Title III D contract,
which states that we must provide evidence-based disease prevention and health
promotion programs that meet the highest level criteria.
It is ElderSource’s intention to improve planning and programming for the OAA Title
III D program. By coordinating sessions with Lead Agencies and additional aging
network providers, ElderSource will be able to assure an adequate supply of
services and maximizes the benefits for participants. An adequate supply and an
array of choices of evidenced-based services will enable ElderSource to achieve a
greater impact on the health of seniors in its planning and service area.
III. Provide documentation of the public hearing held to gather public input on the
proposal to directly provide service(s).
ElderSource held 9 public hearings between April 26, 2019 and May 31, 2019 in each of the seven counties that encompass PSA 4. A list of public hearing locations and schedules are listed below:
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County Location Name Address Public Hearing
Date Public Hearing Time
St Johns Coastal Community Center
180 Marine Street, St Augustine, 32084 26-Apr 10:30a-11:30a
Flagler George Wickline Senior Center
80 S. Daytona Ave. Flagler Beach, 32136 9-May 11a-12p
Duval Lincoln Villa 7866 New Kings Rd, Jax 32219 13-May 10:30a-11:30a
Duval Mary Singleton Senior Citizens Center
150 East 1st St, Jacksonville, FL 32206 21-May 10a-11a
Volusia
Michael & Libby Johnson Center for Civic Engagement at Bethune-Cookman University
740 International Speedway Blvd., Bethune-Cookman University, Daytona Beach, Florida 32114
22-May 10:30a-11:30a
Volusia Unitarian Universalist Congregation of Ormond Beach
56 N Halifax Dr, Ormond Beach, FL 32176 22-May 2:30-3:30p
Baker Glen Baptist Church 9846 George Taber Blvd., Glen St. Mary, FL 32040
28-May 2p-3p
Clay Clay County Council on Aging
414 Stowe Avenue, Orange Park, 32073 29-May 10:30a-11:30a
Nassau Council on Aging- in the Grand Hall
1901 Island Walk Way, Fernandina Beach 32034
31-May 9a-10a
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DIRECT SERVICE WAIVER REQUEST FORM
Insert completed forms for each direct service waiver request. It is not necessary to
submit waiver requests for outreach, information and assistance, and referral, as the
state has a statewide waiver for these services.
OAA Title: ☐ III B ☐ III C1 ☐ III C2 ☒ III D ☐ III E
Service: Powerful Tools for Caregivers
Powerful Tools for Caregivers (PTC) is an evidence-based educational program
designed to provide caregivers of older adults with the tools needed to take care of
themselves. Six class sessions held once a week are led by certified, experienced
class leader(s). The workshops help caregivers reduce stress, improve self-
confidence, better communicate feelings, balance their lives, increase their ability to
make tough decisions and locate helpful resources.
Section 307(a)(8) of the Older Americans Act provides that services will not be provided
directly by the State Agency or an Area Agency on Aging unless, in the judgment of the
State agency, it is necessary due to one or more of the three provisions listed below.
I. Please select the basis for which the waiver is requested (more than one may be selected).
☐ (i) provision of such services by the State agency or the Area Agency on
Aging is necessary to assure an adequate supply of such services;
☐ (ii) such services are directly related to such State agency’s or Area Agency
on Aging’s administrative functions; or
☒ (iii) such services can be provided more economically, and with
comparable quality, by such State agency or Area Agency on Aging.
II. Provide a detailed justification for the waiver request.
Volusia and Flagler Counties have the highest probable Alzheimer’s cases amongst
older adults in the PSA 4 seven-county area. Caregivers of older adults with
Alzheimer as well as other frailty conditions/ issues are getting burned out, and are
becoming ill themselves due to the stress. Throughout PSA 4 caregivers are
PSA 4 2020 - 2022 Area Plan Date: September, 2020 73 | P a g e
sacrificing their jobs and income, more seniors are becoming caregivers, and more
grandparents are caregivers of grandchildren.
By training a current employee of ElderSource as a trainer and by coordinating
sessions with Lead Agencies and additional aging network providers, ElderSource
will be able to provide this evidence-based program throughout multiple counties at
a potentially lower cost than could be done by another provider.
III. Provide documentation of the public hearing held to gather public input on the
proposal to directly provide service(s).
ElderSource held 9 public hearings between April 26, 2019 and May 31, 2019 in each of the seven counties that encompass PSA 4. A list of public hearing locations and schedules are listed below:
County Location Name Address Public Hearing Date Public Hearing
Time
St Johns Coastal Community Center
180 Marine Street, St Augustine, 32084
26-Apr 10:30a-11:30a
Flagler George Wickline Senior Center
80 S. Daytona Ave. Flagler Beach, 32136
9-May 11a-12p
Duval Lincoln Villa 7866 New Kings Rd, Jax 32219 13-May 10:30a-11:30a
Duval Mary Singleton Senior Citizens Center
150 East 1st St, Jacksonville, FL 32206
21-May 10a-11a
Volusia
Michael & Libby Johnson Center for Civic Engagement at Bethune-Cookman University
740 International Speedway Blvd., Bethune-Cookman University, Daytona Beach, Florida 32114
22-May 10:30a-11:30a
Volusia Unitarian Universalist Congregation of Ormond Beach
56 N Halifax Dr, Ormond Beach, FL 32176
22-May 2:30-3:30p
Baker Glen Baptist Church 9846 George Taber Blvd., Glen St. Mary, FL 32040
28-May 2p-3p
Clay Clay County Council on Aging
414 Stowe Avenue, Orange Park, 32073
29-May 10:30a-11:30a
Nassau Council on Aging- in the Grand Hall
1901 Island Walk Way, Fernandina Beach 32034
31-May 9a-10a
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Appendix 2: Assurances
Section 306 Older Americans Act
Northeast Florida Area Agency on Aging dba ElderSource assures the following:
1. The AAA assures that an adequate proportion, as required under section 307(a)(2) of
the OAA and ODA Policy 205.00, Priority Services, of the amount allotted for part B to
the planning and service area will be expended for the delivery of each of the following
categories of services: services associated with access to services (transportation,
outreach, information and assistance and case management services), in-home
services, and legal assistance. (§306(a)(2))
2. The AAA assures it will set specific objectives for providing services to older
individuals with greatest economic need and older individuals with greatest social need,
include specific objectives for providing services to low-income minority older individuals
and older individuals residing in rural areas, and include proposed methods of carrying
out the preference in the area plan (§306(a)(4)(A)(i))
3. Each AAA shall provide assurances that the AAA will include in each agreement
made with a provider of any service under this title, a requirement that such provider
will:
a. Specify how the provider intends to satisfy the service needs of low-income
minority older individuals and older individuals residing in rural areas in the area
served by the provider.
b. To the maximum extent possible services to low-income minority older
individuals and older individuals residing in rural areas in accordance with their
need for such services; and
c. Meet specific objectives established by the AAA, providing services to low-
income minority older individuals and older individuals residing in rural areas
within the planning and service area. (§306(a)(4)(ii))
4. The AAA assures it will use outreach efforts that will identify individuals eligible for
assistance under this Act, with special emphasis on:
a. Older individuals residing in rural areas;
b. Older individuals with greatest economic need (with particular attention to low-
income minority older individuals and older individuals residing in rural areas);
c. Older individuals with greatest social need (with particular attention to low-
income minority older individuals and older individuals residing in rural areas);
d. Older individuals with severe disabilities;
e. Older individuals with limited English-speaking ability; and
PSA 4 2020 - 2022 Area Plan Date: September, 2020 75 | P a g e
f. Older individuals with Alzheimer’s disease or related disorders with neurological
and organic brain dysfunction (and the caretakers of such individuals).
(§306(a)(4)(B))
5. The AAA assures it will ensure that each activity undertaken by the agency, including
planning, advocacy, and systems development, will include a focus on the needs of low-
income minority older individuals and older individuals residing in rural areas.
(§306(a)(4)(C))
6. The AAA assures it will coordinate planning, identification, assessment of needs, and
provision of services for older individuals with disabilities, with particular attention to
individuals with severe disabilities, with agencies that develop or provide services for
individuals with disabilities. (§306 (a)(5))
7. The AAA assures it will provide information and assurances concerning services to
older individuals who are Native Americans (referred to in this paragraph as older
Native Americans) including:
a. Information concerning whether there is a significant population of older Native
Americans in the planning and service area and if so, an assurance that the AAA
will pursue activities, including outreach, to increase access of those older Native
Americans to programs and benefits provided under this title;
b. An assurance that the AAA will, to the maximum extent practicable, coordinate
the services provided under Title VI; and
c. An assurance that the AAA will make services under the area plan available to
the same extent; as such services are available to older individuals within the
planning and service area, whom are older Native Americans. (§306(a)(11))
8. The AAA assures it will maintain the integrity and public purpose of services
provided, and service providers, under this title in all contractual and commercial
relationships. (§306(a))13)(A))
9. The AAA assures it will disclose to the Assistant Secretary and the State Agency:
a. The identity of each non-governmental entity with which such agency has a
contract or commercial relationships relating to providing any service to older
individuals; and
b. The nature of such contract or such relationship. (§306(a)(13)(B))
10. The AAA assures it will demonstrate that a loss or diminution on the quantity or
quality of the services provided, or to be provided, under this title by such agency has
not resulted and will not result from such non-governmental contracts or such
commercial relationships. (§306(a)(13)(C))
11. The AAA assures it will demonstrate that the quantity and quality of the services to
be provided under this title by such agency will be enhanced as a result of such non-
governmental contracts or commercial relationships. (§306(a)(13)(D))
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12. The AAA assures it will, on the request of the Assistant Secretary of State, for the
purpose of monitoring compliance with this Act (including conducting an audit), disclose
all sources and expenditures of funds such agency receives or expends to provide
services to older individuals (§306(a)(13)(E))
13. The AAA assures that funds received under this title will not be used to pay any part
of a cost (including an administrative cost) incurred by the AAA to carry out a contract or
commercial relationship that is not carried out to implement this title. (§306(a)(14))
14. The AAA assures that preference in receiving services under this title will not be
given by the AAA to particular older individuals as a result of a contract or commercial
relationship that is not carried out to implement this title. (§306(a)(15))
Area Agency on Aging Director
Name: Linda Levin Signature:
Date:
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DEPARTMENT OF HEALTH AND HUMAN SERVICES REGULATIONS TITLE VI OF THE CIVIL RIGHTS ACT OF 1964
Northeast Florida Area Agency on Aging dba ElderSource, hereinafter called the
"recipient,"
HEREBY AGREES THAT it will comply with Title VI of the Civil Rights Act of 1964 (P.L.
88‑352) and all requirements imposed by or pursuant to the Regulation of the
Department of Health and Human Services (45 CFR Part 80) issued pursuant to the
title, to the end that, in accordance with Title VI of that Act and the Regulation, no
person in the United States shall, on the ground of race, color, or national origin, be
excluded from participation in, be denied the benefits of, or be otherwise subjected to
discrimination under any program or activity for which the recipient receives federal
financial assistance from the Department; and HEREBY GIVES ASSURANCE THAT it
will immediately take any measures necessary to effectuate this agreement.
If any real property or structure thereon is provided or improved with the aid of federal
financial assistance extended to the recipient by the Department, this assurance shall
obligate the recipient, or in the case of any transfer of such property, any transferee, for
the period during which the real property or structure is used for a purpose for which the
federal financial assistance is extended or for another purpose involving the provision of
similar service or benefits. If any personal property is so provided, this assurance shall
obligate the recipient for the period during which it retains ownership or possession of
the property. In all other cases, this assurance shall obligate the recipient for the period
during which the federal financial assistance is extended to it by the Department.
THIS ASSURANCE is given in consideration of and for the purpose of obtaining any
and all federal grants, loans, contracts, property, discounts, or other federal financial
assistance extended after the date hereof to the recipient by the Department, including
installment payments after such date on account of the applications for federal financial
assistance which were approved before such date. The recipient recognizes and agrees
that such federal financial assistance will be extended in reliance on the representations
and agreements made in this assurance, and that the United States shall have the right
to seek judicial enforcement of this assurance. This assurance is binding on the
recipient, its successors, transferees, and assignees, and the person or persons whose
signatures appear below are authorized to sign this assurance on behalf of the
recipient.
Area Agency on Aging Director
Name: Linda Levin Signature:
Date:
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DEPARTMENT OF HEALTH AND HUMAN SERVICES SECTION 504 OF THE REHABILITATION ACT OF 1973
Northeast Florida Area Agency on Aging dba ElderSource, hereinafter called the
"recipient,"
HEREBY AGREES THAT it will comply with Section 504 of the Rehabilitation Act of
1973, as amended (29 U.S.C. 794), all requirements imposed by the applicable HHS
regulation (45 C.F.R. Part 84), and all guidelines and interpretations issued pursuant
thereto.
Pursuant to 84.5(a) of the regulation [45 C.F.R. 84(a], the recipient gives this Assurance
in consideration of and for the purpose of obtaining any and all federal grants, loans,
contracts, (except procurement contracts and contracts of insurance or guaranty),
property, discounts, or other federal financial assistance extended by the Department of
Health and Human Services after the date of the Assurance, including payments or
other assistance made after such date on applications for federal financial assistance
that were approved before such date. The recipient recognizes and agrees that such
federal financial assistance will be extended in reliance on the representations and
agreements made in this Assurance and that the United States will have the right to
enforce this Assurance through lawful means.
This Assurance is binding on the recipient, its successors, transferees, and assignees,
and the person or persons whose signatures appear below are authorized to sign this
Assurance on behalf of the recipient.
This Assurance obligates the recipient for the period during which federal financial
assistance is extended to it by the Department of Health and Human Services or
provided for in 84.5(b) of the regulation [45 C.F.R. 84.5(b)]. The recipient: a. (☐)
employs fewer than fifteen persons; b. (☐) employs fifteen or more persons, and
pursuant to 84.7(a) of the regulation [45 C.F.R. 847(a)], has designated the following
person(s) to coordinate its efforts to comply with the regulation.
Name of Designee(s): Linda Levin
Recipients Address: ElderSource
10688 Old St. Augustine Road
Jacksonville, FL 32257
IRS Employer I.D. Number:
AAA Board President (or other authorized official)
I certify that the above information is complete and correct to the best of my knowledge.
Name: Stuart Gaines Signature:
Date:
PSA 4 2020 - 2022 Area Plan Date: September, 2020 79 | P a g e
AVAILABILITY OF DOCUMENTS
Northeast Florida Area Agency on Aging dba ElderSource , HEREBY GIVES FULL
ASSURANCE that the following documents are current and maintained in the
administrative office of the AAA and will be filed in such a manner as to ensure ready
access for inspection by DOEA or its designee(s) at any time.
The AAA further understands that these documents are subject to review during
monitoring by DOEA.
(1) Current board roster
(2) Articles of Incorporation
(3) AAA Corporate By-Laws
(4) AAA Advisory Council By-Laws and membership composition
(5) Corporate fee documentation
(6) Insurance coverage verification
(7) Bonding verification
(8) AAA staffing plan
(a) Position descriptions
(b) Pay plan
(c) Organizational chart
(d) Executive director's resume and performance evaluation
(9) AAA personnel policies manual
(10) Financial procedures manual
(11) Functional procedures manual
(12) Interagency agreements
(13) Affirmative Action Plan
(14) Civil Rights Checklist
(15) Conflict of interest policy
(16) Documentation of public forums conducted in the development of the area plan,
including attendance records and feedback from providers, consumers, and
caregivers
(17) Consumer outreach plan
(18) ADA policies
PSA 4 2020 - 2022 Area Plan Date: September, 2020 80 | P a g e
(19) Documentation of match commitments for cash, voluntary contributions, and
building space, as applicable
(20) Detailed documentation of AAA administrative budget allocations and
expenditures
(21) Detailed documentation of AAA expenditures to support cost reimbursement
contracts
(22) Subcontractor Background Screening Affidavit of Compliance
Certification by Authorized Agency Official:
I hereby certify that the documents identified above currently exist and are properly
maintained in the administrative office of the Area Agency on Aging. Assurance is given
that DOEA or its designee(s) will be given immediate access to these documents, upon
request.
AAA Board President (or other authorized official)
Name: Stuart Gaines Signature:
Date:
PSA 4 2020 - 2022 Area Plan Date: September, 2020 81 | P a g e
Appendix 3: Program Module Review Checklist- All items below provided in approved 2020-2022 Area Plan
Please complete the form provided by indicating whether each item is included in the
Area Plan (Yes/No/Not Applicable).
PROGRAM MODULE REVIEW CHECKLIST YES NO N/A
Table of Contents
The location of each section of the program module is accurately reflected.
☐ ☐ ☐
Program and Contract Module Certification
The form is properly completed. ☐ ☐ ☐
The form is signed and dated by Board President (or Designee). ☐ ☐ ☐
The form is signed and dated by Advisory Council Chair. ☐ ☐ ☐
The form is signed and dated by Executive Director. ☐ ☐ ☐
AAA Board of Directors
Composition details process for member selection and reflects the counties represented in the Area Plan.
☐ ☐ ☐
Frequency details the anticipated meeting schedule for the board ☐ ☐ ☐
Selection process and dates are provided ☐ ☐ ☐
Service term reflects the term for the board as well as the term of each individual board member
☐ ☐ ☐
AAA Board of Directors Tables
Officer table details name and terms for board officers ☐ ☐ ☐
Member table details name, title, address, phone, term, age, race, and ethnicity for Board members
☐ ☐ ☐
PSA 4 2020 - 2022 Area Plan Date: September, 2020 82 | P a g e
PROGRAM MODULE REVIEW CHECKLIST YES NO N/A
AAA Advisory Council
Composition details process for member selection and reflects the counties represented in the Area Plan.
☐ ☐ ☐
Frequency details the anticipated meeting schedule for the Advisory Council
☐ ☐ ☐
Selection process and dates are provided ☐ ☐ ☐
AAA Advisory Council Table
Member table details name, title, address, phone, term, age, race, and ethnicity for board members
☐ ☐ ☐
Funds Administered
The form is properly completed including bid cycle information. ☐ ☐ ☐
Resources Used
The form reflects the use of a variety of planning resources. ☐ ☐ ☐
Executive Summary
This section describes major highlights. ☐ ☐ ☐
Mission and Vision Statement
This section includes the mission and vision of the agency. ☐ ☐ ☐
Profile
Identification of Counties
This section identifies the counties within the PSA. Include at least one map to display the PSA.
☐ ☐ ☐
This section identifies the major communities within the PSA. Include at least one map to display the PSA.
☐ ☐ ☐
Socio-Demographic and Economic Factors
This section includes a description of the social and economic climate in the PSA, including how this affects elders.
☐ ☐ ☐
PSA 4 2020 - 2022 Area Plan Date: September, 2020 83 | P a g e
PROGRAM MODULE REVIEW CHECKLIST YES NO N/A
Highlight the following characteristics:
1. Elders with low incomes ☐ ☐ ☐
2. Socially isolated elders ☐ ☐ ☐
3. Minority and culturally diverse elders ☐ ☐ ☐
4. Elders in urban and rural areas ☐ ☐ ☐
Analysis includes the use of maps and charts to illustrate data provided
☐ ☐ ☐
Economic and Social Resources
This section describes the economic and social resources available to elders in the PSA.
☐ ☐ ☐
Description of Service System
This section describes the current services that are in place to meet the needs of elders. Includes private and public funding sources.
☐ ☐ ☐
Role in Interagency Collaborative Efforts
This section describes collaborative efforts, partnerships, and special initiatives by the PSA and/or DOEA.
☐ ☐ ☐
SWOT Analysis
SWOT Analysis
Process Description ☐ ☐ ☐
Strengths ☐ ☐ ☐
Weaknesses ☐ ☐ ☐
Opportunities ☐ ☐ ☐
Threats ☐ ☐ ☐
PSA 4 2020 - 2022 Area Plan Date: September, 2020 84 | P a g e
PROGRAM MODULE REVIEW CHECKLIST YES NO N/A
Performance and Targeted Outreach
Performance Analysis - Based on the identified service needs of targeted areas and population groups as determined through needs assessment and other data, project the number and percentage of individuals to be served in each county during each year of the three-year plan.
☐ ☐ ☐
Targeted Outreach Plan - The purpose of the targeting report is to show how effective the targeting efforts were of services provided to the specific population groups.
☐ ☐ ☐
Older individuals residing in rural areas ☐ ☐ ☐
Older individuals with greatest economic need ☐ ☐ ☐
Older individuals with greatest social need ☐ ☐ ☐
Older individuals with severe disabilities ☐ ☐ ☐
Older individuals with limited English-speaking ability ☐ ☐ ☐
Older individuals with Alzheimer’s disease and related disorders and the caretakers of these individuals
☐ ☐ ☐
Older individuals at risk for institutional placement ☐ ☐ ☐
Caregivers:
Caregivers of older individuals with Alzheimer’s disease and related disorders with neurological and organic brain dysfunction
☐ ☐ ☐
Grandparents or older individuals who are relative caregivers who provide care for children with severe disabilities
☐ ☐ ☐
Caregivers who are older individuals with greatest social need ☐ ☐ ☐
Caregivers who are older individuals with greatest economic need ☐ ☐ ☐
Caregivers who are older individuals who provide care to individuals with severe disabilities, including children with severe disabilities
☐ ☐ ☐
Unmet Needs and Service Opportunities
PSA 4 2020 - 2022 Area Plan Date: September, 2020 85 | P a g e
PROGRAM MODULE REVIEW CHECKLIST YES NO N/A
Access to Services
Abuse, Neglect, and Exploitation ☐ ☐ ☐
Information about services ☐ ☐ ☐
Counties or communities with limited access to transportation ☐ ☐ ☐
Counties or communities with limited access to significant supportive services
☐ ☐ ☐
Counties or communities with limited availability of and/or access to legal assistance
☐ ☐ ☐
Counties or communities with limited access to social services agencies
☐ ☐ ☐
Analysis of service implications of identified unmet access needs ☐ ☐ ☐
Caregiver
Caregiver unmet needs ☐ ☐ ☐
Number of elder caregivers, including number of grandparents raising grandchildren
☐ ☐ ☐
Condition of elder caregivers ☐ ☐ ☐
Analysis of service implications of identified caregiver unmet needs ☐ ☐ ☐
Communities
Transportation ☐ ☐ ☐
Limited access to senior centers ☐ ☐ ☐
Housing and safety needs ☐ ☐ ☐
Employment and employment training or related assistance ☐ ☐ ☐
Housing conditions and availability of affordable housing ☐ ☐ ☐
Analysis of service implications of identified unmet community needs ☐ ☐ ☐
Disaster Preparedness ☐ ☐ ☐
PSA 4 2020 - 2022 Area Plan Date: September, 2020 86 | P a g e
PROGRAM MODULE REVIEW CHECKLIST YES NO N/A
Volunteerism ☐ ☐ ☐
Health Care
Preventative health ☐ ☐ ☐
Medical care needs ☐ ☐ ☐
Ancillary health care needs (hearing aids and eyeglasses) ☐ ☐ ☐
Availability of medical/health care, including mental health counseling
☐ ☐ ☐
Analysis of service implications of identified unmet health care needs
☐ ☐ ☐
Nutrition ☐ ☐ ☐
Self-Care limitations ☐ ☐ ☐
Health promotion ☐ ☐ ☐
Home and Community-Based Services (HCBS)
Number of People 60+ with ADL limitations not receiving services ☐ ☐ ☐
Number of people 60+ with IADL limitations not receiving services ☐ ☐ ☐
Number of people 60+ with mobility limitations not receiving services ☐ ☐ ☐
Number of people 60+ who qualify for food stamps but are not receiving them
☐ ☐ ☐
People on waitlist not yet receiving any services ☐ ☐ ☐
Existing clients needing additional services ☐ ☐ ☐
Analysis of service implications of identified HCBS unmet needs. ☐ ☐ ☐
County level analysis for unmet needs/gaps in service. Use charts and graphics with narrative if desired.
☐ ☐ ☐
Goals and Objectives
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PROGRAM MODULE REVIEW CHECKLIST YES NO N/A
Goal 1: Empower seniors, individuals with disabilities, their families, and other consumers to choose and easily access options for existing mental and physical health and long-term care
Objective 1.1. ▲ Provide streamlined access to health and long-term care options through Aging and Disability Resource Centers
☐ ☐ ☐
Objective 1.2. ▲ Encourage individuals, including people under 60, to plan for future long-term care needs by providing access to information
☐ ☐ ☐
Objective 1.3. Ensure that complete and accurate information about resources is available and accessible
☐ ☐ ☐
Objective 1.4. Ensure that elders have access to free, unbiased, and comprehensive health insurance counseling
☐ ☐ ☐
Objective 1.5. Increase public awareness of existing mental and physical health and long-term care options
☐ ☐ ☐
Objective 1.6. Identify and serve target populations in need of information and referral services
☐ ☐ ☐
Objective 1.7. Provide streamlined access to Medicaid Managed Care and address grievance issues
☐ ☐ ☐
Goal 2: Enable individuals to maintain a high quality of life for as long as possible through the provision of home and community-based services, including supports for family caregivers
Objective 2.1 Identify and serve target populations in need of home and community-based services
☐ ☐ ☐
Objective 2.2. Ensure that efforts are in place to fulfill unmet needs and serve as many clients as possible
☐ ☐ ☐
Objective 2.3. Provide high quality services ☐ ☐ ☐
Objective 2.4. Provide services, education, and referrals to meet specific needs of individuals with dementia
☐ ☐ ☐
Objective 2.5. Improve caregiver supports ☐ ☐ ☐
Goal 3: Empower seniors and their caregivers to live active, healthy lives to improve their mental and physical health status
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PROGRAM MODULE REVIEW CHECKLIST YES NO N/A
Objective 3.1. ▲ Continue to increase the use of Evidence-Based (EB) programs at the community level
☐ ☐ ☐
Objective 3.2. Promote good nutrition and physical activity to maintain healthy lifestyles
☐ ☐ ☐
Objective 3.3. Promote the adoption of healthy behaviors ☐ ☐ ☐
Objective 3.4. Advocate for prevention and early intervention of mental health and substance abuse services for elders
☐ ☐ ☐
Goal 4: Ensure the legal rights of seniors are protected and prevent their abuse, neglect, and exploitation
Objective 4.1. Collaborate and coordinate within the community and aging network to increase accessible legal services
☐ ☐ ☐
Objective 4.2. ▲ Facilitate the integration of Older Americans Act elder rights programs into Aging Services
☐ ☐ ☐
Objective 4.3. ▲ Improve the identification and utilization of measurable consumer outcomes for elder rights programs
☐ ☐ ☐
Objective 4.4. Promote primary prevention of elder abuse, neglect, and exploitation
☐ ☐ ☐
Objective 4.5. Reduce the rate of abuse, neglect, and exploitation recidivism through education, outreach, and the provision of services
☐ ☐ ☐
Objective 4.6. Increase the awareness of health care fraud and other elder rights issues
☐ ☐ ☐
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Goal 5: Participate in community efforts to ensure your PSA is addressing the state’s mission to create livable communities by promoting this work through the eight domains of livability framework. Support the work DOEA is doing in collaboration with AARP and the World Health Organization’s (WHO) Age-Friendly Cities and Communities Program.
Objective 5.1. ▲ Coordinate with community partners for increased
access to affordable, person-centered health care, and social
services to promote active and independent living. ☐ ☐ ☐
Objective 5.2. ▲ Promote safe, accessible, and affordable housing that supports aging in place.
☐ ☐ ☐
Objective 5.3. ▲ Increase awareness of and promote safe and reliable transportation options to increase mobility and community participation.
☐ ☐ ☐
Objective 5.4. ▲Increase access to information through various methods including print, tv, and digital media.
☐ ☐ ☐
Objective 5.5. ▲ Promote, engage, and celebrate the valuable contributions of all adults in the community.
☐ ☐ ☐
Objective 5.6. ▲ Increase awareness of opportunities to contribute in the workplace and volunteer to make a difference in the community.
☐ ☐ ☐
Objective 5.7. ▲ Increase awareness of and promote easy access to social and cultural activities for increased quality of life.
☐ ☐ ☐
Objective 5.8. ▲ Work with community partners to ensure accessible, inviting, and safe outdoor spaces and buildings that encourage active participation and recreation.
☐ ☐ ☐
Goal 6: Maintain effective and responsive management
Objective 6.1. Promote and incorporate management practices that encourage greater efficiency
☐ ☐ ☐
Objective 6.2. Ensure that federal and state funds are used to effectively and efficiently serve elders’ needs
☐ ☐ ☐
Objective 6.3. Ensure that providers continue to strengthen the disaster preparedness plans to address specific needs of elders
☐ ☐ ☐
Objective 6.4. Accurately maintain the Client Information and Registration Tracking System (CIRTS) data
☐ ☐ ☐
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Objective 6.5. Promote volunteerism by and for seniors whenever possible
☐ ☐ ☐
Goal 7: Co-establish and participate in at least one Dementia Care and Cure Initiative (DCCI) Task Force in your Planning and Service Area (PSA).
Objective 7.1. ▲ Coordinate with the Memory Disorder Clinic (MDC) and local community leaders in Alzheimer’s disease and related dementias (ADRD) in your area to create a DCCI Task Force.
☐ ☐ ☐
Objective 7.2. ▲ Collaborate with Task Force members to designate community entities as Dementia-Caring.
☐ ☐ ☐
Objective 7.3. ▲ Promote DCCI education and outreach activities throughout the PSA.
☐ ☐ ☐
Objective 7.4. ▲ Identify areas of need within the ADRD community throughout the PSA.
☐ ☐ ☐
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Appendix 4: Performance and Planning Data
The Excel file provided with your Area Plan package includes a sheet detailing the
performance in the previous year against the county-level demographics associated
with the following indicators in data and dashboard formats:
Below Poverty Level (Below 100% of Federal Poverty Level),
Limited English,
Living Alone,
Low Income Minority (below 125% of Federal Poverty Level),
Minority,
Probable Alzheimer’s Cases,
Rural, and
Low-Income Rural (currently only mapped and not included in the data and
dashboard).
This spread sheet allows the AAA to compare the county level population percent for
the indicators to the percent of the indicators for the screened and served population.
Provided at the county level, this comparison should serve to highlight the areas that
need to be addressed with strategic planning activities during the period of this Area
Plan to ensure performance in the upcoming period meets expectations. To assist with
planning, the dashboard provides the approximate count of clients needed in each
demographic group to reach the same proportion as the county population. The
dashboard also provides estimates of clients needed to exceed each demographic
group’s county proportion.
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Program Module Comments and Recommendations:
(to be completed by DOEA staff)
Section Reviewed
Table of Contents ☐
Comments:
Program and Contract Module Certification ☐
Comments:
AAA Board of Directors ☐
Comments:
AAA Advisory Council ☐
Comments:
Funds Administered and Bid Cycles ☐
Comments:
Resources Used ☐
Comments:
Executive Summary ☐
Comments:
Mission and Vision Statements ☐
Comments:
Profile ☐
Comments:
SWOT Analysis ☐
Comments:
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Program Module Comments and Recommendations:
(to be completed by DOEA staff)
Section Reviewed
Performance and Targeted Outreach ☐
Comments:
Unmet Needs and Service Opportunities ☐
Comments:
Goals and Objectives ☐
Comments:
Direct Service Waiver Requests ☐
Comments:
Assurances ☐
Comments:
Program Module Checklist ☐
Comments:
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Appendix 5: Instructions
This file was designed as a template that, when completed, will become your final three-year Area Plan. Since formatting is already a part of the document, document features such as page numbering will automatically update as you work. Please limit editing to the specified areas as making other edits may compromise the template design and functionality.
You may paste text from other sources into this template. However, to ensure the greatest success with inserting content from other sources, please remember to use the Paste Special function and paste as Unformatted Text into your Area Plan.
Steps for Creating Your Area Plan File
Before you begin editing the template, read all of the template instructions.
It is recommended that you make and re-name a copy of this electronic file
before you begin editing to ensure the original set of instructions and forms
remain available.
Any template instructions included throughout the body of the document can be
removed when finalizing your plan or left in as additional clarification for the
reader.
Enter your organization name, PSA number, and submission month on the report
cover.
Enter your Planning and Service Area (PSA) number and submission month and
year in the footer of the document.
To enter information into the requisite narrative fields first select the <Enter Text
Here> placeholder then begin typing.
Table of Contents
Each page must be sequentially numbered (this should occur automatically) and the
location of each section must be listed in the Table of Contents (instructions below).
Once you have completed editing the file, you will need to update the Table of Contents.
This can be accomplished by right clicking on the Table of Contents and
selecting the Update Field then Update Entire Table function.
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Program Module and Contract Module Certification
The Certification Page is to be completed as indicated and signed by the Board
President or other authorized official, the Advisory Council Chair, and the AAA
Executive Director. Signing the form verifies that the Board of Directors, the Advisory
Council, and AAA understand that they are responsible for the development and
implementation of the plan to ensure compliance with the Older Americans Act Section
306.
In addition, their signature verifies that the Program and Contract modules:
Reflect input from a cross section of service providers, consumers, and
caregivers who are representative of all areas and culturally diverse populations
of the PSA,
Incorporate the comments and recommendations of the AAA’s Advisory Council,
and
Have been reviewed and approved by the respective governing bodies.
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AAA Board of Directors
In the Membership Composition section, enter the organizational requirements and
processes by which members are selected. In particular, this section should clearly
describe the efforts undertaken to ensure that the board’s membership selection
process results in membership that is closely representative of the demographics of the
PSA. All counties in the PSA should be represented to the extent possible.
In the Frequency of Meetings section, enter the anticipated schedule of board meetings
for the term of the area plan.
In the Officer Selection Schedule section, enter the anticipated schedule for the board’s
officer selection process for the term of the area plan.
In the AAA Board Officers table, enter the respective officers’ name and term (beginning
and ending date in the format (mm/yy)) for each position as appropriate.
In the AAA Board of Directors Membership table, enter the name (officers information
first in the order of the AAA board officers table), occupation/affiliation, home address
(including county), phone number, “Member Since” date (for continuing members, this
date reflects their original appointment date to the board (mm/yy)), and current term for
each AAA Board member.
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AAA Advisory Council Members
In the Council Composition section, enter the organizational requirements and
processes by which members are selected. In particular, this section should clearly
describe the efforts undertaken to ensure that the council’s membership meets the
requirements of the OAA including a selection process that results in membership that
is closely representative of the demographics of the PSA. All counties in the PSA should
be represented to the extent possible.
In the Frequency of Meetings section, enter the anticipated schedule of council
meetings for the term of the Area Plan.
In the Member Selection Schedule section, enter the anticipated schedule for the
council’s member selection process for the term of the Area Plan.
In the AAA Advisory Council Members table, enter the name, occupation/affiliation,
home address (including county), phone number, “Member Since” date (for continuing
members, this date reflects their original appointment date to the Board (mm/yy)),
current term of office (beginning and ending date in the format mm/yy), age, race, and
ethnicity for each AAA Advisory Council member.
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Funds Administered and Bid Cycles
This section has been updated to include the current and anticipated bid cycles for those programs that the AAA administers through competitively procured subcontracts. In completing this section, please select from the options provided all funding sources administered by the organization. To select a source, “click” the checkbox following the source description.
When entering the elements for the Current Bid Cycle, insert the solicitation publication date (mm/yy) under the Published column header. Insert the procurement cycle date (mm/yy) under the Current Year of Cycle column header.
When entering the elements for the Anticipated Bid Cycle, insert the anticipated publication date for the RFP (mm/yy) under the Ant. Publish column header. Insert the anticipated RFP award date (mm/yy) under the Ant. Award column header.
In the event that the PSA is currently engaged in a bid cycle for one or more administered funds, please indicate the anticipated award date under the Awarded column header field for the respective fund.
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Resources Used
To complete this section, please check all resources referenced in order to develop the
Targeted Outreach Plan. To select a resource, “click” the checkbox preceding the
resource description. If available, the resources are provided as link to the resource
itself. Click on the resource to access.
American Community Survey – U.S. Census Bureau annual survey of
households collecting demographic information as well as survey responses on a
variety of topics.
American FactFinder – This source provides access to data about the United
States, Puerto Rico, and the Island Areas. The data in American FactFinder
come from several censuses and surveys.
Administration on Aging (AoA) Special Tabulation Data 60+ – A special package
available through AoA using the Census Bureau estimates of the U.S. and state
populations for aged 60 and over.
Behavioral Risk Factor Surveillance System (BRFSS) Survey Data – A survey of
the general population commissioned by the Florida Department of Health with
financial and technical assistance from the Centers for Disease Control and
Prevention (CDC) that collects information on a wide array of health and lifestyle
topics.
Bureau of Economic and Business Research (BEBR) produces Florida’s official
state and local population estimates and projections. These estimates and
projections are used for distributing state revenue-sharing dollars to cities and
counties in Florida and for budgeting, planning, and policy analysis by state and
local government agencies, businesses, researchers, the media, and members
of the public.
Client Information Registration and Tracking System (CIRTS) – Managed by the
Department, CIRTS provides users with the ability to generate reports that
identify numbers and circumstances of individuals seeking services and clients
currently served in a planning and service area.
DOEA Client Satisfaction Surveys – Surveys of caregiver and client participants
in Department-administered programs such as CCE, ADI, etc. located on the
Department website.
DOEA Elder Index Maps – Maps created using the American Community Survey
data, which allow users to locate census tracts with concentrations of seniors in
poverty, with disabilities, in race/ethnic minorities, and over the age of 85.
Office of Economic and Demographic Research (EDR) – EDR is a research arm
of the Legislature principally responsible for forecasting economic and social
trends that affect policymaking, revenues, and appropriations.
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Florida Charts – Florida Department of Health one-stop-site for public health
statistics and community health data
National Aging Program Information System (NAPIS) – NAPIS is the annual
reporting from states of counts, characteristics, expenditures, and service
utilization of seniors and caregivers that is submitted to the National Association
of States United for Aging and Disabilities (NASUAD) to meet reporting
requirements of the Title III and VII State Program Report Data Elements,
dictated by the Administration for Community Living, of the U.S. Department of
Health and Human Services.
National Association of States United for Aging and Disability (NASUAD) –
NASUAD represents the nation’s 56 state and territorial agencies on aging and
disabilities and supports visionary state leadership, the advancement of state
systems innovation, and the articulation of national policies that support home
and community-based services for older adults and individuals with disabilities.
Wider Opportunities for Women Elder Economic Security Standard™ Index
(WOW Index) – The WOW Index measures how much income retired older
adults require to live in the community and meet their basic needs.
Targeting Data and Dashboard – Present the performance data for the previous
year(s) in each of the targeting factors. Dashboard shows trends across counties,
regions, and years.
Targeting Performance Maps – Maps created using the proportion of clients in
each targeting group, against the percentage available in the general 60+
population. Uses American Community Survey data as well as CIRTS data.
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Executive Summary
This section describes the major highlights of the Area Plan, such as how the agency is
addressing significant needs, key initiatives, and the organization’s role as an AAA. The
suggested limit for the narrative response to this section is three pages.
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Mission and Vision Statements
This section includes the Mission and Vision of the AAA.
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Profile
This section should feature an overview of the social, economic, and demographic
characteristics of the PSA as well as the conditions of older persons in the PSA.
Identification of Counties Identify the counties within the PSA. Use at least one map to visually display the
PSA in relation to the entire state and one map to identify rural areas of the PSA.
Identification of Major Communities Identify major communities within the PSA. Use at least one map to visually display
the PSA in relation to the entire state and one map to identify rural areas of the PSA.
Socio-Demographic and Economic Factors Describe the socio-demographic and economic factors of the population in the PSA.
Include a discussion of the conditions and circumstances of older persons in the
PSA by describing what life is like for them. Consider the overall quality of life of
individuals, such as the addition or existence of recreational programs and other
elements that enhance quality of life.
Describe the population characteristics including the number of low-income minority elders, elders residing in rural areas, and increases in the 85+ age group. Also, indicate the location and concentration of the following characteristics within the PSA:
Elders with low income,
Socially isolated elders,
Minority and culturally diverse elders, and
Urban and rural areas
Use maps and charts to illustrate data provided.
Economic and Social Resources Describe the economic and social resources available in the PSA. Include any
partnerships, additional funding, in-kind resources, and resource development
undertaken by the AAA that enhance the services and quality of life for people age
60 and older. Also describe the economic and social resources of the PSA as a
whole to provide context in which the services are being provided. For example, the
PSA or areas within the PSA have attractions such as theme parks, a university, a
vibrant arts community, or other significant amenities. Also include factors such as
tourism and seasonal shifts in population. If the economic and social resources vary
significantly across counties of the PSA, the differences should be included in the
narrative.
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Description of Service System Describe the services that are in place to meet the needs of elders and individuals
with disabilities, including AAA-funded services and other public and private sector
services. This section should also include the number of people being served, the
category of population including individuals with severe and persistent mental
illness, physical or developmental disabilities, and Alzheimer’s disease as well as
the types of services and their frequency. Discuss how the supportive services
funded by the Older Americans Act address the needs and conditions of elders in
the PSA. This should be an overall snapshot of the PSA, including the number of
registered services provided and the number of clients served in each county.
Role in Interagency Collaborative Efforts Describe the AAA’s role in advocacy for older individuals when coordinating and/or
participating in interagency collaborative efforts, such as coordination with
community mental health providers or disability organizations. Include a discussion
regarding any special initiatives by the Department or the AAA that show evidence of
particular effectiveness and that result in program efficiencies, improved services,
quality of life improvements, etc. Discuss intergenerational partnership activities and
volunteer initiatives including programs administered by the Corporation for National
and Community Service, and other use of trained volunteers in providing services to
older individuals and those with disabilities.
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SWOT (Strengths, Weaknesses, Opportunities, and Threats) Analysis
Describe your AAA’s SWOT development process and outcomes for each of the SWOT
quadrants. The following resource may be helpful to you in conducting the SWOT
analysis for your organization: Community Tool Box
The SWOT analysis (alternatively SWOT matrix) should be used as a structured
planning method used to evaluate the strengths, weaknesses, opportunities, and threats
that are presenting themselves to the organization. In conducting your analysis,
emphasis should be placed on the recruitment and active participation of your
Governing Board and Advisory Council members as well as assessing how prepared
your AAA is to respond to the anticipated change in the number of older individuals
during the 10-year period following your Area Plan submission.
Strengths: characteristics of the
organization that give it an advantage over
others.
Weaknesses: characteristics that place the
organization at a disadvantage relative to
others.
Opportunities: elements that the
organization could exploit to its advantage.
Threats: elements in the environment that
present a challenge for the organization.
The SWOT analysis should support the
organization of information, provide insight into
barriers that may be present while engaging in social change processes, and identify
strengths available that can be activated to counteract these barriers. Identification of
SWOTs is important because they can inform the planning steps necessary to achieve
goals and objectives. In addition, this analysis can be used to do the following:
Explore new solutions to problems,
Identify barriers that will limit the ability to achieve goals/objectives,
Decide on the direction that will be most effective,
Reveal possibilities and limitations for change, and
Revise plans to best navigate systems, communities, and organizations.
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Performance Analysis
The purpose of the performance analysis is to describe how effective the various
strategies employed by the AAA were in reaching the specific population groups during
the previous year.
The narrative for this section should include a brief description of the strategies,
particular successes, obstacles encountered, and any best practices identified
over the course of the previous year.
This narrative should include analysis across all indicators at the county and PSA
levels paying particular attention to those indicators where the PSA percent of
population for the indicator falls below the percent of total population for the
indicator. The county level comparative performance data is provided in the companion
Excel file provided with this template.
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Targeted Outreach Plan
The purpose of this three-year plan is to document the AAA’s and providers’ planned
outreach activities to address the identified service needs of targeted populations. This
summary should consist of the AAA’s planned outreach activities at the county and PSA
levels, including when and where activities and events will take place, information on
target audiences, goals for number of older individuals and caregivers reached, and
plans for how these outreach efforts will reach the targeted sub-populations. In
developing the outreach section, the AAA must collaborate with each county to
summarize the types of community events/activities, dates and locations, and numbers
of anticipated participants.
The plan is not limited to only those indicators where the county’s percent of
population for the indicator falls below the percent of total population for the
indicator, this narrative should describe strategies to address the unique and
particular needs of the PSA at the county and community levels (e.g.
transportation for individuals in rural and/or isolated areas, access to SNAP and
other food assistance for low income individuals).
The targeting plan will discuss the AAA’s methods for ensuring the provision of outreach
and education to populations most in need of services and for directing services to:
Older individuals residing in rural areas;
Older individuals with greatest economic need (with particular attention to low-
income older individuals; including low-income minority older individuals, older
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individuals with limited English proficiency, and older individuals residing in rural
areas);
Older individuals with greatest social need (with particular attention to low-
income older individuals; including low-income minority older individuals, older
individuals with limited English proficiency, and older individuals residing in rural
areas);
Older individuals with severe disabilities;
Older individuals with limited English proficiency ability;
Older individuals with Alzheimer’s disease and related disorders with
neurological and organic brain dysfunction;
Older individuals at risk for institutional placement; and
Caregivers
o Caregivers of older individuals with Alzheimer’s disease and related disorders with neurological and organic brain dysfunction;
o Grandparents1 or older individuals who are relative caregivers who provide care for children with severe disabilities;
o Caregivers who are older individuals with greatest social need; o Caregivers who are older individuals with greatest economic need (with
particular attention to low-income older individuals); and o Caregivers who are older individuals who provide care to individuals with
severe disabilities, including children with severe disabilities.
Outreach is an access service and is a required service or function in Title III B and Title
III C. Outreach is defined as a face-to-face, one-to-one intervention with clients initiated
by the AAA for the purpose of identifying potential clients or caregivers and encouraging
their use of existing and available resources.
Not to be confused with Outreach, Education/Training is defined as:
Speaking to groups or distributing materials to individuals at public gatherings
about services and opportunities available to them within their communities;
Providing formal or informal opportunities for individuals or groups to acquire
knowledge, experience, or skills; to increase awareness in such areas as crime
or accident prevention; to promote personal enrichment; and to increase or gain
skills in a specific craft, trade, job, or occupation;
1 The term ‘‘grandparent or older individual who is a relative caregiver’’ means a grandparent or step-grandparent of a
child, or a relative of a child by blood, marriage, or adoption who is age 55 or older; and (A) lives with the child; (B)
is the primary caregiver of the child because the biological or adoptive parents are unable or unwilling to serve as
the primary caregiver of the child; and (C) has a legal relationship to the child, such as legal custody or guardianship,
or is raising the child informally. The term ‘‘child’’ means an individual who is not more than 18 years of age or who
is an individual with a disability.
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Training individuals or groups in guardianship proceedings of older individuals if
other adequate representation is unavailable can also be done; and
Training conducted by memory disorder clinics funded under the Alzheimer’s
Disease Initiative designed to increase understanding of the disease and
facilitate management of persons with Alzheimer’s disease by their caregivers
and health professionals.
A Targeted Outreach Plan update is submitted annually when the Area Plan is updated.
The summary update consists of the AAA’s and providers’ progress in addressing the
identified service needs of targeted populations, i.e., barriers or obstacles to reaching
targeted individuals in identified ZIP codes, as well as the achievement of targeting
goals. The outreach section of the targeting plan summary update includes discussion
of the AAA’s participation in community events and status of oversight of the providers’
activities. Oversight includes the AAA’s monitoring and tracking of providers’ outreach
efforts.
The AAA will require providers to submit status reports at least semi-annually in a
uniform format for the PSA, that include the type of community events or activities;
dates and locations of the events; numbers of participants; identified services needed;
and information or referrals provided.
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Unmet Needs and Service Opportunities
This section defines the significant unmet needs of elders and/or gaps in service to elders at the county and PSA levels across a variety of indicators.
Your response should include an analysis of the various topics included in the categories outlined below.* Your analysis should include the actions that have been pursued thus far to address identified needs, the outcomes of those actions, and what actions will be taken to address new, emerging, or continuing needs. For new or emergent needs, describe the expected outcome(s) of all planned actions, including the following:
Access to Services,
Caregiver,
Communities,
Health Care, and
Home and Community-Based Services (HCBS)
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* The Program Module Review Checklist provided in Appendix 3 provides a detail of the
topics that must be covered in each category.
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Goals and Objectives
Six goals and their objectives have been listed in a table format. Additional goals and
objectives particular to your AAA may be added. Objectives that are aligned with the
Administration on Aging’s (AoA) goals are indicated with a ▲ symbol.
Navigation
“Clicking” the Objective hyperlink in the template will navigate you to the
corresponding essential element guidance in the Essential Elements table.
From the Essential Elements table, you can “click” the up arrow (↑) under the
Objective to return the corresponding Objective in the template.
Goals, Objectives, Strategies/Action Steps, and Performance Measures
The Goals, Objectives, Strategies/Action Steps, and Performance Measures are included in table format in the template. A table is included for every objective with the goal and objective already filled in. If the objective has associated performance measures, they are listed in the outcomes and outputs sections at the bottom of the form.
Explanations
The explanations are intended to be used as guidance and to assist AAAs in the creation of strategies/action steps.
Strategies/Action Steps
Strategies or action steps detailing how the AAA will address the needs findings must be measurable and clearly state what the AAA plans to do to achieve the objective and outcomes. Words such as “work with” do not provide specific strategies and are to be avoided. Complete Strategies/Action Steps sections for each table.
Each objective strategy must at a minimum cover the topics specified in the Essential Elements table.
Outcomes/Outputs
Department performance-based program budgeting and Department-specified performance measures are included with relevant objectives.
i. Note: The Department must report on all outcomes statewide,
including those in italics. Outcome reports are available to the AAAs
that choose to monitor their performance, which is encouraged.
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Essential Elements
The following table provides a detail of the Essential Elements that should be included
in the development of your responses to each Goal at the Objective level.
GOAL
Objective Essential Elements
Goal 1: Empower seniors, individuals with disabilities, their families, and other consumers to choose and easily access options for existing mental and physical health and long-term care
Objective 1.1. ▲ Provide streamlined access to health and long-term care options through the Aging and Disability Resource Centers (ADRCs). ↑
Strategies must include but not be limited to:
Improving the ability of the ADRC to connect people to information and services through the ADRC (e.g. building new relationships and/or partnerships and the effective use of technology).
Specific action steps to improve streamlined access based on implementation of call center technology standards, performance reports, and data analysis.
Objective 1.2. ▲ Encourage individuals, including people under 60, to plan for future long-term care needs by providing access to information ↑
Strategies must include but not be limited to:
Increasing public awareness of the costs of long-term care (LTC), the likelihood of the need for LTC services, and the LTC options available.
Increasing public awareness of the limitations of Medicare as a singular long-term care solution.
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GOAL
Objective Essential Elements
Objective 1.3. Ensure that complete and accurate information about resources is available and accessible ↑
Strategies must include but not be limited to:
Ensuring that information in ReferNET is kept accurate and current, reflecting both the inclusion of new services and service providers; as well as the removal of inappropriate references.
Maintaining participation in F4A workgroups; as well as implementing and complying with data collection and reporting standards established through F4A and DOEA collaboration.
Objective 1.4. Ensure that elders have access to free, unbiased, and comprehensive health insurance counseling ↑
Strategies must include but not be limited to:
Establishing additional counseling sites.
Expanding the SHINE Program and access to more consumers (e.g. increasing the number of SHINE service sites).
Objective 1.5. Increase public awareness of existing mental and physical health and long-term care options ↑
Strategies must include but not be limited to:
Informing the public of available long-term care services through a variety of new and traditional media such as websites, social media, publications, or direct mail.
Objective 1.6. Identify and serve target populations in need of information and referral services ↑
Strategies must include but not be limited to:
Efforts to reach individuals with limited English proficiency; low-literacy, low-income, individuals residing in rural populations; persons with disabilities who receive Medicare but are under the age of 65; grandparents caring for grandchildren; individuals with disabilities; and dual eligibles across any Special Needs Population.
Establishing new partnerships and efforts to address, at a minimum, rurality; hunger; and Alzheimer’s disease and related dementias.
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GOAL
Objective Essential Elements
Objective 1.7. Provide streamlined access to Medicaid Managed Care and address grievance issues ↑
Strategies must include but not be limited to:
Programmatic, fiscal, and operational management of all ADRC Medicaid related functions.
Providing Statewide Medicaid Managed Care Long-term Care (SMMC LTC) eligibility assistance.
Enhancing overall customer service through the performance and oversight of the following Medicaid compensable activities: o Medicaid Outreach and LTC Program
Education; o Medicaid Eligibility Screening and
Waitlist Placement; o Enrollment Management System; o Grievances and Complaints; and o Quality Assurance.
Analysis of current capacity to employ these strategies, including details concerning process and performance improvement efforts.
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GOAL
Objective Essential Elements
Goal 2: Enable individuals to maintain a high quality of life for as long as possible through the provision of home and community-based services, including supports for family caregivers
Objective 2.1. Identify and serve target populations in need of home and community-based services
↑
Strategies must include but not be limited to:
Identifying and serving individuals who are in need of HCBS with limited English proficiency; low-literacy, low-income individuals in rural populations; disabled persons who receive Medicare but are under the age of 65; grandparents caring for grandchildren; people with developmental disabilities; and dual eligibles across any Special Needs Population.
Identifying and using best practices in the prioritization and services for clients according the to the Department’s prioritization criteria.
Developing and leveraging new partnerships, processes, and technologies in order to reach rural clients with services to address hunger, memory disorders, and caregiver supports.
Objective 2.2. Ensure that efforts are in place to fulfill unmet needs and serve as many clients as possible ↑
Strategies must include but not be limited to:
Identifying unmet needs and/or gaps through strategic partnerships and collaborations with other entities which have expertise in meeting the identified needs and/or gaps.
Developing specialized support services for aging caregivers.
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GOAL
Objective Essential Elements
Objective 2.3. Provide high quality services ↑
Strategies must include but not be limited to:
Establishing procedures to assure client satisfaction and the delivery of quality services, including handling complaints from persons whose services have been denied, terminated, or reduced.
Utilizing the Local Coalition Work Group (LCWG) to advise in the planning and evaluation of the ADRC and to assist in the development of an ADRC Annual Program Improvement Plan. This strategy must provide a detailed list of current LCWG members and describe current integration of ADRC services with services provided by the staff of the Department's local CARES unit(s) and local Department of Children and Families Economic Self-Sufficiency unit(s).
Submission of the Annual Program Improvement Plan (APIP). The APIP plan must: detail the role of the ADRC's Local Coalition Work Group (LCWG) in the development and evaluation of the APIP; address specific ADRC performance improvement goals; actions steps to implement and evaluate the performance goals; and, quality assurance efforts specific to ADRC functions.
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GOAL
Objective Essential Elements
Objective 2.4. Provide services, education, and referrals to meet specific needs of individuals with dementia
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Strategies must include but not be limited to:
Implementing caregiver programs that adopt or expand state and federal volunteer respite program models and innovative projects that address caregiver needs and reduce their stress.
Developing and maintaining effective partnerships with organizations and providers who have dementia expertise, training Information and Referral Specialists and other staff to recognize possible cognitive impairment, and person-centered services planning.
Providing services for rural aging caregivers of individuals with dementia.
Objective 2.5. Improve caregiver supports
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Strategies must include but not be limited to:
Providing education, training, and options to help caregivers make better decisions and deal with current and prepare for possible future needs.
Home-delivered meals, older adult companionship, socialization, transportation, homemaking, home maintenance and repair, in-home care training, and daily calls to check on an isolated older adult.
Volunteer companions (retired seniors helping seniors) and older caregivers providing care for spouse, grandchildren, or other relatives.
Goal 3: Empower older seniors and their caregivers to live active, healthy lives to improve their mental and physical health status
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GOAL
Objective Essential Elements
Objective 3.1. ▲ Continue to increase the use of Evidence-Based (EB) programs at the community level
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Strategies must include but not be limited to:
Management and coordination of programs that empower seniors to control their own health through community level interventions.
Sustaining continued funding.
Programs the build self-confidence and reduce disease progression for people with chronic conditions (e.g. advocacy for sustaining EB health promotion, including falls prevention and medication management).
Objective 3.2. Promote good nutrition and physical activity to maintain healthy lifestyles
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Strategies must include but not be limited to:
Engaging stakeholders and community partners in coordinated comprehensive nutrition and physical activity programs and community programs that help build social supports.
Increasing the use of congregate meal sites.
Developing social support for programs that promote active lifestyles and use of public facilities (e.g., walking or bike trails, classes at gyms or senior centers, athletic fields, etc.).
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GOAL
Objective Essential Elements
Objective 3.3. Promote the adoption of healthy behaviors
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Strategies must include but not be limited to:
Conducting community-wide campaigns that combine highly visible messages to the public, community events, and support groups that encourage seniors to become or remain active.
Recruiting older adults to participate in the promotion of healthy behaviors through advertising and marketing to community partners.
Promoting the adoption of a healthy lifestyle by reducing smoking, alcohol, and/or drug consumption, and by encouraging sleep and stress management, socialization, and engaging in enjoyable pursuits, etc.
Objective 3.4. Advocate for prevention and early intervention of mental health and substance abuse services for elders↑
Strategies must include but not be limited to:
Public awareness activities to increase the understanding of mental and substance-use disorders.
Improving or developing partnerships with mental health and recovery advocates in the community.
Encouraging group-based activities composed of older adults, like those at a senior center.
Consideration of physical health issues such as nutrition, sleep habits, medication, and pain management.
Working with the Department to ensure that individuals who have been identified at-risk due to emotional or psychological distress receive the appropriate referral, and/or how the AAA tracks and confirms that an appropriate action is taken on behalf of each client in distress and the status update that is provided to the contract manager at the Department on a quarterly basis.
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GOAL
Objective Essential Elements
Goal 4: Ensure the legal rights of seniors are protected and prevent their abuse, neglect, and exploitation
Objective 4.1. Collaborate and coordinate within the community and aging network to increase accessible legal services
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Strategies must include but not be limited to:
Ongoing joint planning between the aging network and legal assistance providers to identify target groups, establish priority legal issue areas, and develop outreach mechanisms to ensure limited legal assistance resources are allocated in such a way as to reach those seniors who are most vulnerable and have the most critical legal needs.
Objective 4.2. ▲ Facilitate the integration of Older Americans Act elder rights programs into aging services
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Strategies must include but not be limited to:
Providing in-person and/or online cross training and the use of available technology and media outlets to inform older adults, the public, and professionals.
Promoting an understanding of individual rights; developing personal empowerment to exercise choices; and providing information regarding the benefits of services and opportunities authorized by law among vulnerable and at-risk seniors.
Objective 4.3. ▲ Improve the identification and utilization of measurable consumer outcomes for elder rights programs
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Strategies must include but not be limited to:
Participating in statewide efforts to develop a uniform statewide reporting system for legal services; establishing mechanisms for utilizing data available to improve awareness of the importance of legal assistance; increasing access to legal assistance; and, addressing the quality of legal assistance provided.
Objective 4.4. Promote primary prevention of elder abuse, neglect, and exploitation
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Strategies must include but not be limited to:
Public education of the special needs of elders and the risk factors for abuse in vulnerable adults.
Primary prevention activities focused on preventing elder abuse, neglect, and exploitation.
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GOAL
Objective Essential Elements
Objective 4.5. Reduce the rate of abuse, neglect, and exploitation recidivism through education, outreach, and the provision of services
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Strategies must include but not be limited to:
Reducing the rate of recidivism through education and outreach for caregivers and clients to help them with coping skills and services to alleviate caregiver stress and possible family strife.
Establishing and maintaining collaborative relationships with other entities that endeavor to prevent elder abuse, neglect, and exploitation.
Objective 4.6. Increase the awareness of health care fraud and other elder rights issues
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Strategies must include but not be limited to:
Use of websites, social media, newspapers, and direct mail.
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GOAL
Objective Essential Elements
Goal 5: Participate in community efforts to ensure your PSA is addressing the state’s mission to create livable communities by promoting this work through the eight domains of livability framework. Support the work DOEA is doing in collaboration with AARP and the World Health Organization’s (WHO) Age-Friendly Cities and Communities Program.
Objective 5.1. ▲
Community Support and Health System: Coordinate with community partners for increased access to affordable, person-centered health care and social services to promote active and independent living.
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Strategies must include but not be limited to:
Developing partnerships with DOH at the county level to identify community needs/concerns through joint community surveys.
Collaboratively working with the county health department on the Community Health Improvement Plan (CHIP) to develop effective strategies to improve health outcomes and reduce costs.
Promoting the availability of existing public health programs within the community that conveys a collaborative approach to support healthy aging.
Increasing awareness of an age-friendly public health system by building a rapport between the public health and the aging sectors.
Providing opportunities to participate in fun, unique programs that support being healthy, examples include offering free exercise programs in a local park and exploring sponsorship opportunities through private insurance companies.
Promoting awareness of the Dementia Care and Cure Initiative (DCCI) task force in your PSA.
Promoting awareness of the Memory Disorder Clinic (MDC) in your PSA and the services it offers.
Objective 5.2. ▲ Housing: Promote safe, accessible, and affordable housing that supports aging in place.
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Strategies must include but not be limited to:
Developing partnerships with city housing departments to explore opportunities for affordable housing.
Developing partnerships with the DCF Homeless coalition lead agency.
Facilitating access to home modification programs.
Promoting availability of resources that enhance personal independence.
Bridging relationships between city, local builders, and developers on the importance of universal design in new construction.
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GOAL
Objective Essential Elements
Objective 5.3. ▲
Transportation: Increase awareness of and promote safe and reliable transportation options to increase mobility and community participation.
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Strategies must include but not be limited to:
Partnering with local transportation coordinator through the Commission for the Transportation Disadvantaged.
Promoting the work and resources of Safe Mobility for Life Program.
Partnering with local agencies to ensure the community offers accessible, affordable, and reliable public transportation options.
Partnering with DOT on safe, complete streets and intersections.
Working with community transportation partners to develop ambassador leaders in the community to educate on the use of public transit system.
Working with local governments to address availability of benches and shelters at bus stops.
Creating partnerships to work together to implement neighborhood/community volunteer transportation programs.
Promoting use of alternative transportation options: walk, bike, public transit, ride share.
Objective 5.4. ▲
Communication and Information: Increase access to information through various methods including print, tv, and digital media.
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Strategies must include but not be limited to:
Developing assessment tools to determine how your community receives information and possible opportunities for improvement, with particular attention in rural areas and underserved populations.
Developing strategies through community partnerships to ensure effective communication reaches residents of all ages.
Partnering with local senior centers, universities, and private partners to offer technology classes.
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GOAL
Objective Essential Elements
Objective 5.5. ▲ Respect and Social Inclusion: Promote, engage, and celebrate the valuable contributions of all adults in the community.
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Strategies must include but not be limited to:
Developing strategies to ensure older adults are valued, respected, and involved in decision making in their communities.
Developing intergenerational programs that bring together youth and older adults.
Partnering with local schools to provide opportunities to learn about aging and respect. DCCI task forces can develop dementia sensitivity trainings for schools/universities/vocational schools.
Implementing grand-friend programs: where older adults are paired with school children to improve their skills and offer mentoring.
Promoting a culture that values diversity, fairness, dignity, and equal opportunity for all.
Partnering with local neighborhood associations to develop check-in programs.
Facilitating opportunities for cross-cultural interactions among clients, caregivers, and program staff. Promoting a diverse governance and workforce that are representative of the population being served.
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GOAL
Objective Essential Elements
Objective 5.6. ▲ Civic Participation and Employment: Increase awareness of opportunities to contribute in the workplace and volunteer to make a difference in the community.
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Strategies must include but not be limited to:
Encouraging older adults to stay engaged in the workforce.
Partnering with the local SCSEP to provide community service training opportunities that could lead to sustainable employment.
Promoting the local SCSEP and the importance of hiring elders.
Building bridges across age and culture.
Implementing programs with universities and senior centers to offer flexible education opportunities and intergenerational projects.
Promoting the Create the Good volunteer program with AARP.
Working with local agencies to promote volunteer and social engagement opportunities for older adults.
Promoting volunteer opportunities through DOEA programs: SHINE, ombudsman, guardianship, home delivered meals.
Developing recognition programs to show the value of your volunteers during the month of April.
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GOAL
Objective Essential Elements
Objective 5.7. ▲ Social Participation: Increase awareness of and promote easy access to social and cultural activities for increased quality of life.
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Strategies must include but not be limited to:
Promoting education and awareness to erase the stigma of ageism.
Developing working relationship with faith-based organizations to work together to facilitate programs to promote engagement in the community.
Collaborating with the local senior centers to make sure a variety of activities are offered to appeal to a diverse population and ensure there is communication to promote the availability of programs.
Developing partnerships with community-based organizations, such as senior centers, community centers, faith-based organizations, and YMCAs to address loneliness and social isolation by establishing opportunities to increase social interactions and development of new friendships.
Offering language assistance to individuals with limited English proficiency.
Increasing awareness and access to programs and support across diverse populations within the aging and disability communities, regardless of a person’s literacy level, ethnicity, race, gender, religion, sexual orientation, gender identity, or socioeconomic status.
Objective 5.8. ▲ Outdoor Spaces and Buildings: Work with community partners to ensure accessible, inviting, and safe outdoor spaces and buildings that encourage active participation and recreation. ↑
Strategies must include but not be limited to:
Working collaboratively with local parks and recreation department to ensure community parks for all ages.
Advocating for safe, walkable sidewalks and entrances to building are safe, accessible, clearly visible for all.
Developing working relationships with neighborhood associations.
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GOAL
Objective Essential Elements
Goal 6: Maintain effective and responsive management
Objective 6.1. Promote and incorporate management practices that encourage greater efficiency
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Strategies must include but not be limited to:
The development and monitoring of standards, criteria, or specific procedures to be used by the service providers in evaluating the quality of services provided.
Management analysis of performance and performance gaps based on internal monitoring, quality assurance, and performance-based standards and outcomes.
Management analysis of improvement objectives based on internal monitoring, quality assurance, and performance-based standards and outcomes.
Active participation of the Advisory Council and Board of Directors in the analysis of improvement objectives as identified by the AAA through internal monitoring, and performance-based standards and outcomes quality assurance activities.
Incorporating call centers standards and data analysis for internal monitoring and quality assurance.
Complying with F4A data collection and analysis requirements and quality assurance activities that are commensurate with F4A policies and procedures (current and as updated over life of this plan).
Objective 6.2. Ensure federal and state funds are used to effectively and efficiently serve elders’ needs
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Strategies must include but not be limited to:
Effectively reporting budgetary surplus/deficit projections.
Analyzing management policies to reduce and eliminate unspent contracted program funds.
Enhancing communication and collaboration with providers to ensure the appropriate and documented transfer of funds among providers.
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GOAL
Objective Essential Elements
Objective 6.3. Ensure that providers continue to strengthen the disaster preparedness plans to address specific needs of elders
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Strategies must include but not be limited to:
Developing and maintaining formal agreements with local, state, and federal entities that provide disaster relief and recovery.
Identifying and planning for consumer needs and the availability of special needs shelters in times of disaster.
Including in plans to disseminate evacuation zone rosters and maps to staff and partners, to ensure client locations are known for preparation and relief efforts.
Objective 6.4. Accurately maintain the Client Information and Registration Tracking System (CIRTS) data
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Strategies must include but not be limited to:
Actively comparing CIRTS data to information in client files to verify the accuracy of CIRTS data.
Providing training and ongoing technical assistance to ensure that employees understand how appropriately use CIRTS.
Ensuring that addresses for active clients were entered by staff and partners into CIRTS accurately and in the most effective format or to make corrections if a client location cannot be identified, to ensure that individuals’ home addresses have the highest likelihood of being properly located and mapped by the Department to identify their assigned evacuation zone.
Objective 6.5. Promote volunteerism by and for seniors whenever possible
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Strategies must include but not be limited to:
Identifying, evaluating, and implementing “best practices” that enhance the recruitment and use of trained volunteers in providing direct services to older individuals and individuals with disabilities.
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GOAL
Objective Essential Elements
Goal 7: Co-establish and participate in at least one Dementia Care and Cure Initiative (DCCI) Task Force in your PSA.
Objective 7.1. ▲ Coordinate with the Memory Disorder Clinic (MDC) and local community leaders in Alzheimer’s disease and related dementias (ADRD) in your area to create a DCCI Task Force.
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Strategies must include but not be limited to:
Forming a Task Force to increase awareness of dementia and of services and support for those living with dementia, along with their families and care partners.
Assisting the Task Force with planning and implementing outreach and educational programs, partnerships with community leaders, and action-oriented plans.
Objective 7.2. ▲ Collaborate with Task Force members to designate community entities as Dementia-Caring.
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Strategies must include but not be limited to:
Collaborating with the Task Force to provide free dementia sensitivity trainings to government and public service agencies, community entities, caregivers and families, first responders, health care professionals, businesses, and community organizations.
Supporting dementia sensitivity trainings that will allow recipients to receive the designation of being Dementia-Caring.
Objective 7.3. ▲ Promote DCCI education and outreach activities throughout your PSA.
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Strategies must include but not be limited to:
Spreading awareness and sensitivity about dementia.
Encouraging safe and inclusive communities for all who seek to continue to be engaged throughout their lifetime.
Linking those living with dementia, their families and care partners to local resources.
Objective 7.4. ▲ Identify areas of need within the ADRD community throughout your PSA.
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Strategies must include but not be limited to:
Advocating for those living with dementia and recognizing ways the Task Force can get involved in the community.
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Performance Measures Listing This section includes a listing of the performance measures required by the Department. This serves as a quick reference to the measures.
Note: The AAAs will not be monitored on the measures listed in italics, but the AAA must still include strategies to address the measures within the goals and objectives framework.
Outcome Measures:
Percent of most frail elders who remain at home or in the community instead of going into a nursing home
Percent of new service recipients whose ADL assessment score has been maintained or improved
Percent of new service recipients whose IADL assessment score has been maintained or improved
Percent of customers who are at imminent risk of nursing home placement who are served with community-based services
Percent of family and family-assisted caregivers who self-report they are very likely to provide care
Percent of caregivers whose ability to provide care is maintained or improved after one year of service intervention (as determined by the caregiver and the assessor)
Percent of elders with high or moderate risk environments who improved their environment score
Percent of Adult Protective Services (APS) referrals who are in need of immediate services to prevent further harm who are served within 72 hours
Output Measures:
Number of people served with registered long-term care services
Number of congregate meals provided
DOEA Internal Performance Measures:
Percent of co-pay goal achieved
Percent of increase in providers participating in the Adult Care Food Program
Percent of high-risk consumers (APS, Imminent Risk, and/or priority levels 4 and 5) out of all referrals who are served
Percent of state and federal funds expended for consumer services
Develop strategies for the recruitment and retention of volunteers
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Appendix 1: Direct Service Waiver Requests
Direct Service Waiver (DSW): A direct service waiver allows the Area Agency on Aging to provide a service directly to clients without having to subcontract the services. A DSW request must be completed for each direct service proposed.
Section I: The Area Agency on Aging (AAA) must select the basis for which the waiver is being
requested. In accordance with Section 307(a)(8) of the Older Americans Act, “services
will not be provided directly by the State Agency or an area agency on aging unless, in
the judgment of the State agency, it is necessary due to one or more of the three
conditions listed below:”
i. Provision of such services by the State agency or the AAA is necessary to assure an adequate supply of such services;
ii. Such services are directly related to such State agency’s or AAA’s administrative functions; or
iii. Such services can be provided more economically, and with comparable quality, by such State agency or AAA and/or the AAA’s efforts to secure services through a competitive solicitation process such as a Request for Proposal (RFP), Request for Information (RFI), or Invitation to Bid (ITB).
Section II: The detailed justification should include the following elements, if applicable.
If (i) is checked in Section 1, demonstrate that there is an inadequate supply. For example, the current provider is not able to serve all counties, all types of clients, provide needed services, etc.
If (ii) is checked in Section 1, show how the service is considered part of the administrative activity and the rationale for categorizing it as such.
o Note: There are no administrative costs in III D.
If (iii) is checked in Section 1, include such factors as a cost analysis or needs assessment and/or the Area Agency’s efforts to secure services through a competitive solicitation process such as an RFP, RFI, or ITB.
Note: Applying for a Direct Service Waiver does not mean that the AAA has to cover the entire Planning and Service Area as long as there are providers to cover those areas.
The AAA can apply for a Direct Service Waiver even though there is another provider delivering the same service as long as there is justification for having the service being delivered by another organization.
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Section III: As part of its Area Plan development, the AAA must include in its public hearing(s) a discussion of each service that the AAA proposes to provide directly. The hearing notice must list each service for which a waiver will be requested and a copy of the notice must be included in the Area Plan documentation.
The purpose of the public hearing is to ensure that the community is informed of the services the AAA is proposing to provide directly and is offered the opportunity to comment on the AAA’s intention to provide these services directly.
To adequately document the public hearing, the following information must be submitted with the Direct Service Waiver Request Form:
a) A copy of the public hearing notice; b) Identification of when and where the public hearing was held; c) Information on the sources used to advertise the public hearing; d) A description of the number and types of participants (number of private citizens,
number of service provider representatives, number of public officials, etc.); and e) A summary of the public comments specific to the services proposed for direct
service provision.
Note: An actual participant list must be kept in the administrative files and be available for review by the Department upon request.
A completed Direct Service Waiver Request Form must be included in the Area Plan program module for each service the AAA plans to provide directly with Older Americans Act services funds except for outreach, information and assistance, and referral. It is not necessary to submit waiver requests for outreach, information and assistance, and referral because the state has a statewide waiver for these services.
Since the Direct Service Waiver Request Form is to be included with the Area Plan submission, approval of the Area Plan indicates approval of the waiver request.
The AAA must include in CIRTS contract budget information about each service the AAA plans to provide directly.
(Return to form)
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Appendix 2: Assurances
As part of the Area Plan development and submission process, Appendix 2 details the
specific assurances required of the OAA related to the receipt and provision of services
with this federal funding stream.
Please complete all required fields and required signatures for each assurance form.
(Return to form)
Appendix 3: Program Module Review Checklist
This checklist is provided as a tool with which your AAA can review its Area Plan to
ensure that all required aspects of the Area Plan have been addressed prior to
submission.
In completing this checklist, please select from the three options provided (Yes, No, N/A) to indicate whether or not the individual elements have been addressed or if the element is not applicable.
(Return to checklist)